Individual provider Active NPI

Richard K Baker, DNP, NP-C

  • Family Nurse Practitioner
  • Ellisville, MO
National Provider Identifier
1285621847
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
143182 Issued in MO
Practice address
1326 Clarkson Clayton Ctr
Ellisville, MO 63011-2145
Phone
(314) 293-4410
Fax
(314) 293-4412
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Aco Clinical Services Inc 159 clinicians
Mercy East Ambulatory Services LLC 102 clinicians

Practice addresses (Care Compare)

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

20 The Legends Pkwy
Eureka, MO 63025-3823
Phone (636) 549-8509

409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764

Hospital & facility affiliations

  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050516000029 MO Practitioner - Nurse Practitioner 3072554567 Reassigns benefits to 2 organizations
I20160224000703 IL Practitioner - Nurse Practitioner 3072554567 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013625ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Good Samaritan, Inc CurrentSince Oct 21, 2022 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jun 1, 2018 Accepting new patients
Alton-Griffin Emergency Group PC Nurse Practitioner CurrentSince Dec 17, 2017 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Jun 1, 2018 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Jun 1, 2018 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Jan 23, 2023 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Oct 21, 2022 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Midwest Emergency Sparta, Inc CurrentSince Oct 21, 2022 Accepting new patients
Cep America Illinois LLP CurrentSince Jun 1, 2018 Accepting new patients
Washington County Hospital District CurrentSince Jun 8, 2018 Accepting new patients
Washington County Hospital District CurrentSince Jun 8, 2018 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
Washington County Hospital District Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

1326 Clarkson Clayton Ctr
Ellisville, MO 63011
Phone (314) 293-4410

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209013625 IL
Family Nurse Practitioner 363LF0000X 143182 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1326 Clarkson Clayton Ctr
Ellisville, MO 63011-2145

Mailing address

1326 Clarkson Clayton Ctr
Ellisville, MO 63011-2145
Phone (314) 293-4410

Other practice location 1

2052 W Highpoint St
Springfield, MO 65810
Phone (417) 883-1446

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
P00360425OtherRR MEDICARE
427525902MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2023.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1285621847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CLARKSON CLAYTON CTR",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112145",
            "telephone_number": "314-293-4410",
            "fax_number": "314-293-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CLARKSON CLAYTON CTR",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112145",
            "telephone_number": "314-293-4410",
            "fax_number": "314-293-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2052 W Highpoint St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65810",
            "country_code": "US",
            "telephone_number": "417-883-1446",
            "fax_number": "417-885-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013625",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "143182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00360425",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427525902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

Verify at the official NPI Registry.