Active NPI
Richard K Baker, DNP, NP-C
- Family Nurse Practitioner
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 143182
- 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.
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1891104824
IL, Nurse Practitioner
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1396034245
IL
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1629367578
IL
-
- Emergency Medicine Physician
- Shiloh, IL
- NPI 1134587637
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- O Fallon, IL
- NPI 1487142022
-
- Rural Health Clinic/Center
- Nashville, IL
- NPI 1316555816
-
- Critical Access Hospital
- Nashville, IL
- NPI 1477504322
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 IncMercy East Ambulatory Services LLC
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 209013625 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Emergency Good Samaritan, Inc | Current | Accepting new patients | |
| Midwest Emergency Anderson Health, Inc | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Alton-Griffin Emergency Group PC | Nurse Practitioner | Current | Accepting new patients |
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Midwest Emergency Centralia Campus Associates, Inc | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Midwest Emergency Sparta, Inc | Current | Accepting new patients | |
| Cep America Illinois LLP | Current | Accepting new patients | |
| Washington County Hospital District | Current | Accepting new patients | |
| Washington County Hospital District | Current | Accepting new patients | |
| Midwest Inpatient Anderson Health, Inc | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209013625 | IL | |
| Family Nurse Practitioner | 363LF0000X | 143182 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00360425 | Other | RR MEDICARE | |
| 427525902 | Medicaid | MO |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.