Individual provider Active NPI

Cailen Wattenbarger Baker, DNP, PMHNP-BC, CNE

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1497460588
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018938 Issued in KY
Practice address
520 Sallys Branch Rd E
London, KY 40741-7149
Phone
(606) 401-3185
NPI assigned
Jan 23, 2023
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018938 KY Primary

Addresses

Primary practice location

520 Sallys Branch Rd E
London, KY 40741-7149

Mailing address

520 Sallys Branch Rd E
London, KY 40741-7149
Phone (606) 401-3185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240418000523 KY Practitioner - Nurse Practitioner 7214376698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Mountain Behavioral HealthGroup PAC ID 6406295880, 3 clinicians

Practice addresses (Care Compare)

323 Main St
Williamsburg, KY 40769-1123
Phone (606) 825-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Mountain Behavioral Health CurrentSince Feb 7, 2024 Accepting new patients
Cumberland Mountain Behavioral Health CurrentSince Feb 7, 2024 Accepting new patients

Locations

323 Main St
Williamsburg, KY 40769
Phone (606) 825-6005

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1497460588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SALLYS BRANCH RD E",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417149",
            "telephone_number": "606-401-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SALLYS BRANCH RD E",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417149",
            "telephone_number": "606-401-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CAILEN",
        "middle_name": "WATTENBARGER",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, CNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-03-19",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.