Kelli J Baker, CNP
Individual provider Active NPI Nurse Practitioner · Canton, OH
NPI 1255880779 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1255880779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F0916599 (OH)
- Practice address
- 4565 Dressler Rd NW
Suite #111
Canton, OH 44718-2549 - Phone
- (330) 493-0013
- Fax
- (330) 493-6973
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orrville Hospital Foundation
Ohio Physician Professional Corporation
Practice addresses (Care Compare)
1020 Trump Rd NW
Suite 2
Carrollton, OH 44615-8420
Phone (330) 627-0884
1020 Trump Rd NW
Suite 4
Carrollton, OH 44615-8423
Phone (330) 627-0884
211 Scio Rd SW
Carrollton, OH 44615-8521
Phone (330) 627-7055
6046 Whipple Ave NW
North Canton, OH 44720-7616
Phone (330) 915-8260
Hospital & facility affiliations
- Aultman Hospital
- Aultman Orrville Hospital
- Alliance Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.96 of 100
- Quality
- 77.5
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20161104000037 | OH | Practitioner - Nurse Practitioner | 3476831967 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0916599 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Ohio Physician Professional Corporation | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients |
Locations
270 E State St
Ste 240
Alliance, OH 44601
Phone (330) 596-6560
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
1020 Trump Rd NW
Ste 4
Carrollton, OH 44615
Phone (330) 627-0884
1020 Trump Rd NW
Ste 2
Carrollton, OH 44615
Phone (330) 627-0884
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
6046 Whipple Ave NW
#B
North Canton, OH 44720
Phone (330) 491-1670
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
Interoperability endpoints
- kelli.baker@direct.aultman.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F0916599 | OH | Yes |
Addresses
Primary practice location
4565 Dressler Rd NW
Suite #111
Canton, OH 44718-2549
Mailing address
4565 Dressler Rd NW
Suite #111
Canton, OH 44718-2549
Phone (330) 493-0013
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. 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.