Individual provider Active NPI

Jennifer Baker

  • Family Nurse Practitioner
  • Delta, OH
National Provider Identifier
1578294997
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032144 Issued in OH
Practice address
503 Oakwood LN
Delta, OH 43515-1037
Phone
(419) 822-1669
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 APRN.CNP.0032144 OH Primary

Addresses

Primary practice location

503 Oakwood LN
Delta, OH 43515-1037

Mailing address

503 Oakwood LN
Delta, OH 43515-1037

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
I20221102002563 OH Practitioner - Nurse Practitioner 4688041700 Reassigns benefits to 6 organizations

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
Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

6100 Rockside Woods Blvd
Suite 425
Independence, OH 44131-2340
Phone (216) 643-2780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032144OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Surgical Wound Care, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 26, 2024 Accepting new patients
SHC Medical Partners of Ohio, LLC Family CurrentSince Feb 26, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Healing Partners Plus PLLC CurrentSince Dec 9, 2025 Accepting new patients
United Wound & Vascular Institute Ohio PLLC CurrentSince Dec 9, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 26, 2024 Accepting new patients
Northeast Surgical Associates of Ohio Wound Speciality Services LTD Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

6100 Rockside Woods Blvd N
Ste 425
Independence, OH 44131

7148 West Blvd
Youngstown, OH 44512
Phone (330) 530-4038

Organizations & group practices 9

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1578294997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 OAKWOOD LN",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435151037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OAKWOOD LN",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435151037",
            "telephone_number": "419-822-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, OH

Sources for this page

Verify at the official NPI Registry.