Dalton Dean Baker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A149860 Issued in IA

Practice address

512 N New St
Kirksville, MO 63501-3167

Phone

(660) 988-4723

NPI assigned

Nov 30, 2017

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kirksville Clinic CorpGroup PAC ID 4486619269, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

Merit-based Incentive Payment System (MIPS)

Final score

91.41 of 100Reported as apm

Quality

79.26

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dalton.baker.1@2245.direct.athenahealth.com

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.

• Kirksville Clinic Corp

  • Family Medicine Physician
  • Kirksville, MO
  • NPI 1538155817
  Medicare reassignment Care Compare group NPD

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

• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1326552191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N NEW ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N NEW ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013167",
            "telephone_number": "660-988-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DALTON",
        "middle_name": "DEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013022156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A149860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dalton.baker.1@2245.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "512 N New St",
            "city": "Kirksville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "635013167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Aurand de Razo, MA, CCC-SLP
• Kathy Ayers, F.N.P.
• Randall R Bacon, LPC
• John Dee Bailey, D.O.
• K. Brayden Howard Bailey
• Kimberly Baker, PLPC
• Shanna N Baker, MSW, LCSW
• John Bambrick, LMSW
• Alan Richard Barber, DDS
• Arnold S Barber, D.O.

• Family Nurse Practitioner in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.