Katherine Jane Baker, APRN

Key facts

NPI: 1215530944
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 101.0134658 (VT)
Practice address: 57 Western Ave
Brattleboro, VT 05301-6093
Phone: (802) 254-0252
Fax: (802) 254-0253
NPI assigned: Nov 17, 2020
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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

West River Wellness PLLC Psychiatric/Mental Health Nurse Practitioner · Brattleboro, VT · NPI 1073442737

NPD Authorized official PSYCHIATRIC/MENTAL HEALTH
Matrix Health Systems P.C. Clinical Psychologist · Burlington, VT · NPI 1104872712

NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Brattleboro Memorial Hospital General Acute Care Hospital · Brattleboro, VT · NPI 1306849708

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

57 Western Ave
Brattleboro, VT 05301-6093
Phone (802) 254-0252

Hospital & facility affiliations

Brattleboro Memorial Hospital Hospital · Brattleboro, VT · CCN 470011

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210223002089	VT	Practitioner - Nurse Practitioner	5698180768	Practice locations: Brattleboro, VT

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Matrix Health Systems P.C.		Current since Nov 1, 2020	Accepting new patients
West River Wellness PLLC	Psychiatric/Mental Health	Current since Oct 16, 2022	Accepting new patients

Locations

80 Linden St
Brattleboro, VT 05301
Phone (802) 254-2291

57 Western Ave
Brattleboro, VT 05301
Phone (802) 254-0252

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	101.0134658	VT	Yes

Addresses

Primary practice location

57 Western Ave
Brattleboro, VT 05301-6093

Mailing address

57 Western Ave
Brattleboro, VT 05301-6093
Phone (802) 254-0252

Other practice location 1

80 Linden St
Brattleboro, VT 05301-2965
Phone (802) 254-2291

Other names

Katherine Jane Nalevanko Former name

Other providers in Brattleboro, VT

All providers in Brattleboro, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.