Individual provider Active NPI

Mark Baker, ACNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1366864050
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5006660 Issued in NC
Practice address
332 Glenolden CT
Cary, NC 27513-3287
Phone
(919) 624-1334
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5006660 NC Primary

Addresses

Primary practice location

332 Glenolden CT
Cary, NC 27513-3287

Mailing address

332 Glenolden CT
Cary, NC 27513-3287
Phone (919) 624-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241111001740 NC Practitioner - Nurse Practitioner 1456885631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians

Practice addresses (Care Compare)

1991 Fordham Dr
Suite 202
Fayetteville, NC 28304-3774
Phone (703) 356-1568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arman C. Moshyedi, MD, PLLC CurrentSince Aug 5, 2024 Accepting new patients
Greenbrook TMS Winston-Salem LLC PastSince Feb 7, 2018 Accepting new patients
Greenbrook TMS Chapel Hill LLC Past Accepting new patients

Locations

1085 Tunnel Rd
Ste 301
Asheville, NC 28805

55 Vilcom Center Dr
Ste 135
Chapel Hill, NC 27514
Phone (919) 590-9126

55 Vilcom Center Dr
Ste 230
Chapel Hill, NC 27514
Phone (919) 590-3530

6701 Carmel Rd
Ste 305
Charlotte, NC 28226
Phone (217) 502-3050

1991 Fordham Dr
Ste 202
Fayetteville, NC 28304
Phone (910) 213-3324

1500 Sunday Dr
Ste 102
Raleigh, NC 27607
Phone (919) 322-2413

701 Exposition Pl
Ste 201
Raleigh, NC 27615
Phone (919) 466-7540

1500 Sunday Dr
Ste 105
Raleigh, NC 27607

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

Interoperability endpoints

  • Direct secure messaging: mark.baker.1@18773.direct.athenahealth.com

Organizations & group practices 3

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1366864050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 GLENOLDEN CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133287",
            "telephone_number": "919-624-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 GLENOLDEN CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133287",
            "telephone_number": "919-624-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARK",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.