Individual provider Active NPI

Becky Baker

  • Nurse Practitioner
  • Maryville, MO
National Provider Identifier
1619394236
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A079775 Issued in IA
Practice address
2016 S Main St
Maryville, MO 64468-2655
Phone
(660) 562-2600
Fax
(660) 562-7911
NPI assigned
Mar 20, 2014
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A079775 IA Primary

Addresses

Primary practice location

2016 S Main St
Maryville, MO 64468-2655

Mailing address

114 E South Hills Dr
Maryville, MO 64468-2659
Phone (660) 562-2600

Other identifiers 1

IdentifierTypeStateIssuer
A079775OtherIALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140421000380 IA Practitioner - Nurse Practitioner 4587896824 Reassigns benefits to 3 organizations
I20160902001254 MO Practitioner - Nurse Practitioner 4587896824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
QV Urgent Care Ia PLLCGroup PAC ID 1052722147, shared by 7 NPIs, 37 clinicians

Practice addresses (Care Compare)

312 W McLane St
Osceola, IA 50213-1511
Phone (641) 658-9048

801 N Grand Ave
Mt Pleasant, IA 52641-3120
Phone (319) 984-4775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A079775IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Oct 6, 2023 Accepting new patients
Ottumwa Health Group LLC CurrentSince Jun 7, 2016 Accepting new patients
Ottumwa Health Group LLC CurrentSince Jun 7, 2016 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Oct 6, 2023 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Nov 22, 2021 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

444 N West View Dr
Spc Care
Osceola, IA 50213

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

2453 North Ct
Ottumwa, IA 52501
Phone (641) 683-3341

903 N 25th St
Bethany, MO 64424
Phone (660) 425-7333

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

502 S Main St
Gallatin, MO 64640
Phone (660) 663-3751

103 N Davis St
Hamilton, MO 64644
Phone (816) 583-7839

409 W Auberry Grv
Jamesport, MO 64648
Phone (660) 684-6252

106 North St
Lathrop, MO 64465
Phone (816) 740-3282

1007 S Polk St
Maysville, MO 64469
Phone (816) 445-2123

214 N Main St
Plattsburg, MO 64477
Phone (816) 539-3366

198 Main St
Polo, MO 64671
Phone (660) 354-2550

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1619394236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E SOUTH HILLS DR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682659",
            "telephone_number": "660-562-2600",
            "fax_number": "660-562-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682655",
            "telephone_number": "660-562-2600",
            "fax_number": "660-562-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BECKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A079775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A079775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

Verify at the official NPI Registry.