Individual provider Active NPI

Grace Baker, NP

  • Nurse Practitioner
  • Bishop, CA
National Provider Identifier
1457023681
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95018374 Issued in CA
Practice address
250 N See Vee LN
Bishop, CA 93514-8130
Phone
(760) 873-8464
NPI assigned
Oct 5, 2021
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95018374 CA Primary
Family Nurse Practitioner 363LF0000X 95018374 CA

Addresses

Primary practice location

250 N See Vee LN
Bishop, CA 93514-8130

Mailing address

250 N See Vee LN
Bishop, CA 93514-8130

Other names 1

  • Grace Tannaci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211209000679 CA Practitioner - Nurse Practitioner 9032509864 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-8464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018374CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toiyabe Indian Health Project, Inc CurrentSince Nov 3, 2025 Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince Nov 3, 2025 Accepting new patients
Surindra N. Mitruka, M.D. a Medical Corporation PastSince Dec 6, 2021 Accepting new patients

Locations

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

Interoperability endpoints

  • Direct secure messaging: grace.baker.p1@direct.toiyabe.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1457023681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95018374",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "TANNACI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.