Individual provider Active NPI

Breck Baker, PMHNP -BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1619411279
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11001264 Issued in FL
Practice address
720 N Franklin St Ste 401
Chicago, IL 60654-7212
Phone
(877) 442-0042
NPI assigned
Dec 15, 2016
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN 256580 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0136156 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11001264 FL Primary

Addresses

Primary practice location

720 N Franklin St Ste 401
Chicago, IL 60654-7212

Mailing address

302 Linden Rd
St Augustine, FL 32086-6742
Phone (802) 255-8788

Other practice location 1

1097 Main St
St Johnsbury, VT 05819-2646
Phone (802) 255-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 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
I20170628001333 MA Practitioner - Nurse Practitioner 6507135910 Reassigns benefits to 2 organizations
I20230601001244 VT Practitioner - Nurse Practitioner 6507135910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Mental Health PLCGroup PAC ID 8921548272, 3 clinicians

Practice addresses (Care Compare)

1097 Main St
St Johnsbury, VT 05819-2646
Phone (802) 255-8788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 256580MAMDFamily Nurse Practitioner
101.0136156VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kingdom Human Services Inc CurrentSince May 17, 2023 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jun 24, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Family CurrentSince Jun 12, 2017 Accepting new patients
Sage Mental Health PLC Psychiatric/Mental Health CurrentSince Feb 4, 2024 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Jun 12, 2017 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jun 24, 2017 Accepting new patients

Locations

67 Union St
Natick, MA 01760
Phone (508) 383-1104

169 Valentine Rd
Pittsfield, MA 01201
Phone (413) 445-2300

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

1561 Cold Spring Rd
Williamstown, MA 01267
Phone (413) 458-8127

33 Oak St
Newport, VT 05855
Phone (802) 473-1213

1097 Main St
St Johnsbury, VT 05819
Phone (802) 255-8788

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

Interoperability endpoints

  • Direct secure messaging: breck.baker.1@24284.direct.athenahealth.com

Organizations & group practices 6

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1619411279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LINDEN RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866742",
            "telephone_number": "802-255-8788",
            "fax_number": "802-200-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N FRANKLIN ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547212",
            "telephone_number": "877-442-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 Main St",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058192646",
            "country_code": "US",
            "telephone_number": "802-255-8788",
            "fax_number": "802-200-0493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRECK",
        "name_prefix": "Dr.",
        "credential": "PMHNP -BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN 256580",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0136156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11001264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.