Individual provider Active NPI

Jesse Ian Baker, FNP, RN

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1417405291
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132020 Issued in TX
Practice address
851 N Loop 340
Waco, TX 76705-2592
Phone
(254) 202-7500
NPI assigned
Sep 21, 2016
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 AP132020 TX Primary

Addresses

Primary practice location

851 N Loop 340
Waco, TX 76705-2592

Mailing address

PO Box 848491
Dallas, TX 75284-8491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbaker44273@direct.sw.org

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
I20170106001095 TX Practitioner - Nurse Practitioner 7517248438 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vesper Medical Care PLLCGroup PAC ID 4880097237, 27 clinicians

Practice addresses (Care Compare)

8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone (254) 307-3997

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vesper Medical Care PLLC CurrentSince Feb 19, 2025 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince May 15, 2018 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jun 1, 2019 Accepting new patients
Hillcrest Family Health Center CurrentSince Feb 23, 2022 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Nov 1, 2018 Accepting new patients
Hillcrest Family Health NP Services PLLC Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

851 N Loop 340
Waco, TX 76705
Phone (254) 202-7500

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

8416 Old McGregor Rd
Woodway, TX 76712
Phone (254) 307-3997

Organizations & group practices 6

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 1

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1417405291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848491",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 N LOOP 340",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767052592",
            "telephone_number": "254-202-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JESSE",
        "middle_name": "IAN",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaker44273@direct.sw.org",
            "affiliation": "N",
            "address_1": "851 N Loop 340",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767052592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.