Active NPI
Kerrie Hogin Baker, FNP
- Family Nurse Practitioner
- Portland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131958
- Practice address
- 2413 Memorial Pkwy
Portland, TX 78374-3209 - Phone
- (361) 643-4546
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131958 | TX | Primary |
Addresses
Primary practice location
2413 Memorial Pkwy
Portland, TX 78374-3209
Mailing address
2413 Memorial Pkwy
Portland, TX 78374-3209
Phone (361) 643-4546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151113000498 | TN | Practitioner - Nurse Practitioner | 2860702370 | Reassigns benefits to 1 organization |
| I20170609000252 | TX | Practitioner - Nurse Practitioner | 2860702370 | Reassigns benefits to 1 organization |
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
Practice addresses (Care Compare)
9910 W Loop 1604
Suite 128
San Antonio, TX 78254-5610
Phone (210) 455-6253
Hospital & facility affiliations
- Siloe Home Health & Infusion, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| South Texas Nurse Practitioner Services, PLLC | Family | Current | Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Orthorehab LLC | Current | Accepting new patients |
Locations
441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767
910 12th St
Ste A
Bandera, TX 78003
Phone (210) 307-4924
128 W Bandera Rd
Ste 1
Boerne, TX 78006
Phone (210) 307-4924
1704 Jenkins St
Rockport, TX 78382
Phone (361) 790-9047
9910 W Loop 1604 N
Ste 128
San Antonio, TX 78254
Phone (210) 281-1106
Interoperability endpoints
- kerrie.baker.1@18156.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1013383801
Family, TX
-
- Physical Therapist
- San Antonio, TX
- NPI 1447817754
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rockport, TX
- NPI 1073560694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1326431024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 MEMORIAL PKWY",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783743209",
"telephone_number": "361-643-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 MEMORIAL PKWY",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783743209",
"telephone_number": "361-643-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KERRIE",
"middle_name": "HOGIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP131958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.