Individual provider Active NPI

Sara Baker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1396407946
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015928 Issued in FL
Practice address
6150 150TH Ave N
Clearwater, FL 33760-2138
Phone
(277) 507-4673
NPI assigned
Oct 12, 2021
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015928 FL Primary
Mental Health Counselor 101YM0800X MH20640 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9508715 FL

Addresses

Primary practice location

6150 150TH Ave N
Clearwater, FL 33760-2138

Mailing address

6150 150TH Ave N
Clearwater, FL 33760-2138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240603003279 FL Practitioner - Nurse Practitioner 6901348192 Reassigns benefits to 1 organization
I20241025001544 OH Practitioner - Nurse Practitioner 6901348192 Reassigns benefits to 1 organization
I20241205002050 NC Practitioner - Nurse Practitioner 6901348192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20640FLMDMental Health Counselor
RN9508715FLMDPsychiatric/Mental Health Registered Nurse
APRN11015928FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Boulder Care Provider Group PA CurrentSince Oct 1, 2024 Accepting new patients
John Robert Hamill, Jr. M.D.P.a. CurrentSince Mar 25, 2024 Accepting new patients

Locations

12029 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-4090

2216 Highway 44 W
Inverness, FL 34453
Phone (352) 341-0009

3233 SW 33rd Rd
Ste 202
Ocala, FL 34474
Phone (352) 433-2883

830 Commed Blvd
Ste B
Orange City, FL 32763

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1396407946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 150TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 150TH AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602138",
            "telephone_number": "277-507-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SARA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-02-22",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015928",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20640",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9508715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.