Christy Marie Baker, APRN-NP
Individual provider Active NPI Nurse Practitioner · Omaha, NE
NPI 1457065716 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1457065716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 114587 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Clinic Inc
Omaha Nephrology PC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, IA
- 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 |
|---|---|---|---|---|
| I20230127002776 | NE | Practitioner - Nurse Practitioner | 4880825330 | Reassigns benefits to 2 organizations |
| I20230815002133 | IA | Practitioner - Nurse Practitioner | 4880825330 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Nurse Practitioner | Current |
Accepting new patients |
| Omaha Nephrology PC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 114587 | NE | Yes |
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
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 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.