Amanda Rae Baker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-01281 Issued in NC

Practice address

6901 Market St
Attn: Credentialing
Wilmington, NC 28411-9727

Phone

(866) 389-2727

Fax

(401) 770-4473

NPI assigned

Mar 4, 2008

Last updated

Sep 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Eastern Carolina Ear Nose and Throat Associates PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Smithfield, NC
  • NPI 1831153402
  NPD (past)
• Evolve Medical Spa PLLC

  • Multi-Specialty Clinic/Center
  • Smithfield, NC
  • NPI 1194140129
  NPD (past)
• Franklin Regional Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Louisburg, NC
  • NPI 1942530530
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1174793384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 WHEATFIELDS CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116187",
            "telephone_number": "910-995-2872",
            "fax_number": "401-652-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MARKET ST",
            "address_2": "ATTN: CREDENTIALING",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119727",
            "telephone_number": "866-389-2727",
            "fax_number": "401-770-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01281",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Madison Baird, CPO
• Jessica Baird
• Baker Counseling and Wellness PLLC
• Baker Hearing Center L.L.C. (Miracle- Ear Center)
• Amanda Brooke Baker
• Ann Baker
• Charles Michael Baker, CRNA
• Constance L Baker, MD
• Jamie Leigh Baker, PTA
• Katherine Baker, PHARMD

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.