Individual provider Active NPI

Kerrie Hogin Baker, FNP

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1326431024
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131958 Issued in TX
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

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
South Texas Nurse Practitioner Services, PLLCGroup PAC ID 1254614977, 2 clinicians

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 Home health agency, Rockport, TX, CCN 679686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 11, 2021 Accepting new patients
South Texas Nurse Practitioner Services, PLLC Family CurrentSince Jun 17, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 11, 2021 Accepting new patients
Orthorehab LLC CurrentSince Jun 17, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.