Individual provider Active NPI

Kelli J Baker, CNP

  • Nurse Practitioner
  • Canton, OH
National Provider Identifier
1255880779
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0916599 Issued in 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
Last updated
Sep 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0916599 OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20161104000037 OH Practitioner - Nurse Practitioner 3476831967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0916599OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physician Professional Corporation CurrentSince Jan 5, 2024 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 20, 2024 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 20, 2024 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 2
Carrollton, OH 44615
Phone (330) 627-0884

1020 Trump Rd NW
Ste 4
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

  • Direct secure messaging: kelli.baker@direct.aultman.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1255880779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 DRESSLER RD NW",
            "address_2": "SUITE #111",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182549",
            "telephone_number": "330-493-0013",
            "fax_number": "330-493-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 DRESSLER RD NW",
            "address_2": "SUITE #111",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182549",
            "telephone_number": "330-493-0013",
            "fax_number": "330-493-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KELLI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "F0916599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.