Individual provider Active NPI

Jennifer Reneie Baker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1578219986
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0030787 Issued in OH
Practice address
8170 Corporate Park Dr Ste 150
Cincinnati, OH 45242-3300
Phone
(614) 368-1357
NPI assigned
Feb 24, 2022
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 APRN.CNP.0030787 OH Primary

Addresses

Primary practice location

8170 Corporate Park Dr Ste 150
Cincinnati, OH 45242-3300

Mailing address

3400 Oak Spring Dr
Fairfield Township, OH 45011-7115
Phone (937) 604-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250324003471 OH Practitioner - Nurse Practitioner 9830612423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians
Professional Psychiatric Services, LLCGroup PAC ID 3870512262, 5 clinicians

Practice addresses (Care Compare)

4995 Bradenton Ave
Suite 130
Dublin, OH 43017-3551
Phone (614) 580-6917

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone (513) 229-7585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030787OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Mar 31, 2026 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Mar 31, 2026 Accepting new patients
Professional Psychiatric Services, LLC CurrentSince Mar 1, 2025 Accepting new patients
Professional Psychiatric Services, LLC Past Accepting new patients
Psychological & Behavioral Consultants, LLC Past Accepting new patients

Locations

8170 Corporate Park Dr
Ste 150
Cincinnati, OH 45242
Phone (513) 277-0915

4995 Bradenton Ave
Ste 130
Dublin, OH 43017
Phone (614) 580-6917

9117 Cincinnati Columbus Rd
#R
West Chester, OH 45069
Phone (513) 229-7585

9117 Columbus Cincinnati Rd
West Chester, OH 45069
Phone (513) 229-7585

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1578219986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OAK SPRING DR",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450117115",
            "telephone_number": "937-604-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 CORPORATE PARK DR STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423300",
            "telephone_number": "614-368-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "RENEIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.