Individual provider Active NPI

Stevie Rae Baker, FNP-BC

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1457836512
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023677 Issued in OH
Practice address
623 N Meridian Rd
Youngstown, OH 44509-1229
Phone
(220) 666-1042
NPI assigned
Sep 25, 2018
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 APRN.CNP.023677 OH Primary

Addresses

Primary practice location

623 N Meridian Rd
Youngstown, OH 44509-1229

Mailing address

623 N Meridian Rd
Youngstown, OH 44509-1229
Phone (220) 666-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181106002309 OH Practitioner - Nurse Practitioner 8022362227 Reassigns benefits to 1 organization
I20230222001571 WV Practitioner - Nurse Practitioner 8022362227 Reassigns benefits to 3 organizations
I20240221002108 PA Practitioner - Nurse Practitioner 8022362227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

131 N Wheeling St
Toledo, OH 43605-1544
Phone (419) 724-1414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023677OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbe Medical Group of West Virginia Inc CurrentSince Feb 6, 2024 Accepting new patients
Wellbe Senior Medical Group of Pennsylvania PC CurrentSince Feb 6, 2024 Accepting new patients
Matrix Medical Plus CurrentSince May 1, 2023 Accepting new patients
Matrix Medical Network of West CurrentSince Feb 1, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

1506 Kanawha Blvd W
Charleston, WV 25387
Phone (312) 872-7537

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Organizations & group practices 5

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1457836512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091229",
            "telephone_number": "220-666-1042",
            "fax_number": "216-238-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091229",
            "telephone_number": "220-666-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STEVIE",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.