Individual provider Active NPI

Stacy Baker, M.D.

  • Family Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1528297611
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-01201 Issued in NC
Practice address
735 Cherry Rd
Rock Hill, SC 29732-3121
Phone
(803) 818-3932
Fax
(844) 729-6584
NPI assigned
Jul 9, 2009
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012-01201 NC Primary

Addresses

Primary practice location

735 Cherry Rd
Rock Hill, SC 29732-3121

Mailing address

735 Cherry Rd
Rock Hill, SC 29732-3121
Phone (803) 818-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000004 SC Practitioner - Family Practice 2769645696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broken Better Urgent Care LLCGroup PAC ID 0749541241, 2 clinicians

Practice addresses (Care Compare)

735 Cherry Rd
Rock Hill, SC 29732-3121
Phone (803) 818-3932

Merit-based Incentive Payment System (MIPS)

Final score
89.03 of 100Reported as individual
Quality
81.15
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-01201NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broken Better Urgent Care LLC CurrentSince Jan 1, 2018 Accepting new patients
Broken Better Urgent Care LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

735 Cherry Rd
Rock Hill, SC 29732
Phone (803) 818-3932

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22263/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacy.baker.1@22263.direct.athenahealth.com

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1528297611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CHERRY RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323121",
            "telephone_number": "803-818-3932",
            "fax_number": "844-729-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CHERRY RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323121",
            "telephone_number": "803-818-3932",
            "fax_number": "844-729-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-01201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.