Cassandra Elizabeth Baker
Individual provider Active NPI Family Nurse Practitioner · Elizabethtown, KY
NPI 1336701275 · NPPES record last updated Mar 1, 2022
Key facts
- NPI
- 1336701275
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3013548 (KY)
- Practice address
- 1120 Woodland Dr
Elizabethtown, KY 42701-2763 - Phone
- (270) 982-3323
- Fax
- (270) 982-3353
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stepworks Recovery Centers LLC
Extended Care Specialists, Inc
Practice addresses (Care Compare)
201 Peterson Dr
Elizabethtown, KY 42701-9370
Phone 80054590314100
828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191004000594 | KY | Practitioner - Nurse Practitioner | 2961733035 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepworks Recovery Centers LLC | Current |
Accepting new patients | |
| Stepworks Recovery Centers LLC | Family | Current | Accepting new patients |
| CG Medical Associates Inc | Past |
Accepting new patients |
Locations
201 Peterson Dr
Elizabethtown, KY 42701
Phone (270) 765-5900
3825 Marydell Rd
London, KY 40741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013548 | KY | Yes |
Addresses
Primary practice location
1120 Woodland Dr
Elizabethtown, KY 42701-2763
Mailing address
1120 Woodland Dr
Elizabethtown, KY 42701-2763
Phone (270) 982-3323
Other providers in Elizabethtown, KY
- Hiral Patel Badiwala
- Bisma Baig
- Gabrielle Bailey
- Maddalynn Bailey
- Cassandra Baker
- Nelson Kayne Baker
- Nicolle Baker
- Katherine Haydon Baldwin
- Thomas Michael Baldwin
- Marquita Hanna Ball
All providers in Elizabethtown, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.