Kathryn Baker – Family Nurse Practitioner

Key facts

NPI: 1457781353
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 3008395 (KY)
Practice address: 10755 N. US Hwy 25E
Gray, KY 40734-7032
Phone: (606) 258-8050
Fax: (606) 258-8994
NPI assigned: Nov 14, 2013
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Mercy Medical Clinic PLLC Family Medicine Physician · Corbin, KY · NPI 1528557147

Medicare reassignment Care Compare group NPD KY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Baptist Healthcare System, Inc General Acute Care Hospital · Corbin, KY · NPI 1902865389

Care Compare affiliation Hospital

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Mercy Medical Clinic PLLC Family Medicine Physician · Corbin, KY · NPI 1528557147

CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · CORPORATE OFFICER · W-2 MANAGING EMPLOYEE

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2013
Medicare assignment: May accept Medicare assignment
Group practices: Mercy Medical Clinic PLLC (2 clinicians)

Practice addresses (Care Compare)

14659 N US Hwy 25 E
Suite 16
Corbin, KY 40701-5180
Phone (606) 280-7070

Hospital & facility affiliations

Baptist Health Corbin Hospital · Corbin, KY · CCN 180080

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Mercy Medical Clinic PLLC Corbin, KY · CCN 188996	Rural health clinic	5% Or Greater Direct Ownership Interest (100%) Corporate Officer W-2 Managing Employee	Aug 1, 2018 Feb 5, 2018 Aug 1, 2018

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20131205000743	KY	Practitioner - Nurse Practitioner	7315174927	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Mercy Medical Clinic PLLC		Current since Jun 1, 2018	Accepting new patients

Locations

14659 N US Highway 25 E
Ste 16
Corbin, KY 40701
Phone (606) 280-7070

10755 N US Highway 25E
Gray, KY 40734
Phone (606) 215-1793

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	3008395	KY	Yes

Addresses

Primary practice location

10755 N. US Hwy 25E
Gray, KY 40734-7032

Mailing address

10755 N US Highway 25E
Gray, KY 40734-6529
Phone (606) 258-8050

Other providers in Gray, KY

All providers in Gray, KY · Family Nurse Practitioner in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. 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.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
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.

Verify at the official NPI Registry.