Individual provider Active NPI

Jordan Nicole Baker, APRN, FNP-BC

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1497462451
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095960 Issued in TX
Practice address
3205 N University Dr Ste E
Nacogdoches, TX 75965-2683
Phone
(936) 585-8000
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 1095960 TX Primary

Addresses

Primary practice location

3205 N University Dr Ste E
Nacogdoches, TX 75965-2683

Mailing address

662 County Road 2091
Nacogdoches, TX 75965-6830
Phone (936) 615-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230307001407 TX Practitioner - Nurse Practitioner 7214300557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E T Nephrology Associates PAGroup PAC ID 7416904180, 5 clinicians

Practice addresses (Care Compare)

409 Gaslight Blvd
Lufkin, TX 75904-3158
Phone (936) 634-2227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1095960TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E T Nephrology Associates PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

409 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-4422

700 S John Redditt Dr
Lufkin, TX 75904
Phone (409) 634-2227

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1497462451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 COUNTY ROAD 2091",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759656830",
            "telephone_number": "936-615-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N UNIVERSITY DR STE E",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652683",
            "telephone_number": "936-585-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.