Individual provider Active NPI

Opal Annette Baker, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1346904026
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347437 Issued in NY
Practice address
1695 Eastchester Rd FL 2
Bronx, NY 10461-2375
Phone
(718) 405-8505
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 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 347437 NY Primary

Addresses

Primary practice location

1695 Eastchester Rd FL 2
Bronx, NY 10461-2375

Mailing address

1695 Eastchester Rd FL 2
Bronx, NY 10461-2375
Phone (718) 405-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20220816001265 NY Practitioner - Nurse Practitioner 1850774316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347437NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Medical Group PLLC CurrentSince Oct 1, 2024 Accepting new patients
Divinity Medical Services PLLC CurrentSince Jul 11, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Apr 23, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Apr 23, 2022 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1695 Eastchester Rd
Fl 2
Bronx, NY 10461
Phone (718) 405-8132

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

26 Winslow Gate Rd
Bldg C2
Poughkeepsie, NY 12601

900 Route 376
Ste H
Wappingers Fl, NY 12590
Phone (845) 204-9500

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: obaker@montefioredirect.com
  • Direct secure messaging: opal.baker.1@24989.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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1346904026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612375",
            "telephone_number": "718-405-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612375",
            "telephone_number": "718-405-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "OPAL",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.