Stefanie Brock Baker, PA-C
Individual provider Active NPI Physician Assistant · Lexington, KY
NPI 1477801561 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1477801561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA1749 (KY)
- Practice address
- 2040 Harrodsburg Rd Ste 200
Lexington, KY 40503-1714 - Phone
- (859) 899-7993
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
2108 Nicholasville Rd
Lexington, KY 40503-2502
Phone (859) 260-5200
3900 Kresge Way
Louisville, KY 40207-4681
610 E Brannon Rd
Suite 200
Nicholasville, KY 40356-6046
Phone (859) 260-5555
Hospital & facility affiliations
- Baptist Health Lexington
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121019000314 | KY | Practitioner - Physician Assistant | 5698925063 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1749 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Douglas Carlson DO, PA | Past | Accepting new patients | |
| Pointer Trail Family Clinic PLLC | Past |
Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
2040 Harrodsburg Rd
Ste 200
Lexington, KY 40503
Phone (859) 899-7993
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1749 | KY | Yes |
Addresses
Primary practice location
2040 Harrodsburg Rd Ste 200
Lexington, KY 40503-1714
Mailing address
5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 861-5278
Other names
- Miss Stefanie Rachelle Brock
Other providers in Lexington, KY
- Kendra Joe Baker
- Kenneth Starling Baker III
- Makayla Frances Baker
- Nichole Elaine Baker
- Robert Steven Baker
- Stephen Nicholas Baker
- Taylor Baker
- Tayton Douglas Baker
- Thomas Jordan Baker
- Worth Bradley Baker
All providers in Lexington, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 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.