Individual provider Active NPI

Justin Baker

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1396428793
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129710 Issued in TX
Practice address
8554 Huebner Rd Ste 103
San Antonio, TX 78240-3269
Phone
(210) 366-4358
NPI assigned
Aug 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 1129710 TX Primary

Addresses

Primary practice location

8554 Huebner Rd Ste 103
San Antonio, TX 78240-3269

Mailing address

4012 Whisper RDG
Schertz, TX 78108-2335
Phone (210) 232-4811

Other practice location 1

1922 Dry Creek Way Ste 110
San Antonio, TX 78259-1840
Phone (210) 591-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231006003168 TX Practitioner - Nurse Practitioner 2567817737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

17910 Bulverde Rd
Suite 115
San Antonio, TX 78259-3762
Phone (210) 906-8478

8554 Huebner Rd
Suite 103
San Antonio, TX 78240-3268
Phone (210) 366-4358

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Sep 16, 2023 Accepting new patients
Innovative Infusions, LLC CurrentSince Sep 16, 2023 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

844 Kohlers Xing
Ste 230
Kyle, TX 78640
Phone (737) 404-3926

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

8554 Huebner Rd
Ste 103
San Antonio, TX 78240
Phone (210) 366-4358

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1396428793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 WHISPER RDG",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082335",
            "telephone_number": "210-232-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 HUEBNER RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403269",
            "telephone_number": "210-366-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 Dry Creek Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782591840",
            "country_code": "US",
            "telephone_number": "210-591-6700",
            "fax_number": "210-390-1738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.