Individual provider Active NPI

Chelsea Baker, FNP

  • Family Nurse Practitioner
  • Groveland, FL
National Provider Identifier
1356076731
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020902 Issued in FL
Practice address
475 Kestrel Dr
Groveland, FL 34736-8053
Phone
(850) 447-1500
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 11020902 FL Primary

Addresses

Primary practice location

475 Kestrel Dr
Groveland, FL 34736-8053

Mailing address

475 Kestrel Dr
Groveland, FL 34736-8053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230922000962 FL Practitioner - Nurse Practitioner 8628422797 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11020902FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates All Florida, LLC CurrentSince Aug 7, 2024 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Aug 7, 2024 Accepting new patients
The Clinicians, LLC CurrentSince Jan 25, 2024 Accepting new patients
Travel Doctor, PL CurrentSince Feb 20, 2024 Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

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.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1356076731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 KESTREL DR",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 KESTREL DR",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368053",
            "telephone_number": "850-447-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

Verify at the official NPI Registry.