Danielle Baker, APN
Individual provider Active NPI Nurse Practitioner · Harrisburg, IL
NPI 1417305293 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1417305293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 277000421 (IL)
- Practice address
- 901 S Commercial St
Harrisburg, IL 62946-2640 - Phone
- (618) 993-3817
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Medical Services NFP
Practice addresses (Care Compare)
2808 E Outer Dr
Marion, IL 62959-5207
Phone (618) 993-3817
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160816002001 | IL | Practitioner - Nurse Practitioner | 7113211004 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-014195 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health of Southern Illinois, LTD. | Current |
Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| Integrated Health of Southern Illinois | Current |
Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
1239 E Main St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719
901 S Commercial St
Harrisburg, IL 62946
Phone (618) 252-0411
303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555
3224 S Park Ave
Herrin, IL 62948
Phone (618) 351-4980
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2808 Outer Dr
Marion, IL 62959
Phone (618) 993-3817
Interoperability endpoints
- dbaker54302@sih.direct-ci.com
- https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-014195 | IL | |
| Nurse Practitioner | 363L00000X | 277000421 | IL | Yes |
Addresses
Primary practice location
901 S Commercial St
Harrisburg, IL 62946-2640
Mailing address
PO Box 3988
1239 E. Main Street
Carbondale, IL 62901
Phone (618) 993-3817
Other practice location 1
3224 S Park Ave
Herrin, IL 62948-3715
Phone (618) 351-4980
Other practice location 2
2808 Outer Dr
Marion, IL 62959-5207
Phone (618) 993-3817
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209014195-1 | Medicaid | IL | |
| F400317404 | Other | IL | MEDICARE |
Other names
- Danielle L Rennie
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbaker13371@sih.direct-ci.com | ||
| Direct Messaging Address | dbaker13371@sih.direct-ci.com |
Other providers in Harrisburg, IL
- Axiom Healthcare of Harrisburg LLC
- Axiom Healthcare of Harrisburg LLC
- Axolotl, LLC
- Angelia Leigh Ayresbennett
- Tiffany Leeann Baird
- Stephan Barnard
- Joseph Baxter
- Sydney Beaupre
- Elizabeth Ann Bebout
- Randall David Bell
All providers in Harrisburg, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.