Individual provider Active NPI

Christy Marie Baker, APRN-NP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1457065716
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114587 Issued in NE
Practice address
1111 N 102ND CT Ste 200
Omaha, NE 68114-2194
Phone
(402) 502-2747
Fax
(402) 502-2387
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 114587 NE Primary

Addresses

Primary practice location

1111 N 102ND CT Ste 200
Omaha, NE 68114-2194

Mailing address

1111 N 102ND CT Ste 200
Omaha, NE 68114-2194
Phone (402) 502-2747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230127002776 NE Practitioner - Nurse Practitioner 4880825330 Reassigns benefits to 2 organizations
I20230815002133 IA Practitioner - Nurse Practitioner 4880825330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians
Omaha Nephrology PCGroup PAC ID 5799677019, 10 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

300 W Broadway
Suite 150
Council Bluffs, IA 51503-9077
Phone (712) 388-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Nephrology PC CurrentSince Jan 9, 2023 Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Sep 30, 2025 Accepting new patients

Locations

201 Ridge St
Ste 207
Council Bluffs, IA 51503
Phone (712) 388-0261

300 W Broadway
Ste 150
Council Bluffs, IA 51503
Phone (712) 388-0261

505 Cornhusker Rd
Ste 107
Bellevue, NE 68005
Phone (402) 292-2813

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

1111 N 102nd Ct
Ste 200
Omaha, NE 68114
Phone (402) 991-6559

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1457065716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 102ND CT STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142194",
            "telephone_number": "402-502-2747",
            "fax_number": "402-502-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 102ND CT STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142194",
            "telephone_number": "402-502-2747",
            "fax_number": "402-502-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.