Individual provider Active NPI

Laura Beth Baker, N.P.

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1417213729
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28156402A Issued in IN
Practice address
5750 Falls Drive
Fort Wayne, IN 46804-7147
Phone
(260) 436-8000
Fax
(260) 432-5587
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28156402A IN Primary

Addresses

Primary practice location

5750 Falls Drive
Fort Wayne, IN 46804-7147

Mailing address

5750 Falls Drive
Fort Wayne, IN 46804-7147
Phone (260) 436-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120705000133 IN Practitioner - Nurse Practitioner 4789849357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Wayne Dermatology Consultants IncGroup PAC ID 0042299885, 14 clinicians

Practice addresses (Care Compare)

11635 Coldwater Rd
Fort Wayne, IN 46845-1256
Phone (260) 436-8000

7881 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone (260) 436-8000

815 High St
Decatur, IN 46733-2351
Phone (260) 436-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
89.18
Promoting interoperability
99
Improvement activities
40
Cost
90.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28156402AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Dermatology Consultants Inc CurrentSince Sep 1, 2012 Accepting new patients

Locations

815 High St
Decatur, IN 46733
Phone (260) 639-3809

11635 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 637-1661

5750 Falls Dr
Fort Wayne, IN 46804
Phone (260) 204-5719

7881 Carnegie Blvd
Fort Wayne, IN 46804

Interoperability endpoints

  • Direct secure messaging: lbaker@fwderm.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1417213729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 FALLS DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047147",
            "telephone_number": "260-436-8000",
            "fax_number": "260-432-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 FALLS DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047147",
            "telephone_number": "260-436-8000",
            "fax_number": "260-432-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28156402A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.