Individual provider Active NPI

Ronald J Baker, CRNP

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1639615289
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
105972 Issued in AL
Practice address
507 Harley St
Scottsboro, AL 35768-4218
Phone
(256) 259-0061
Fax
(256) 259-0668
NPI assigned
Jan 6, 2017
Sex
Male
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X 105972 AL Primary

Addresses

Primary practice location

507 Harley St
Scottsboro, AL 35768-4218

Mailing address

507 Harley St
Scottsboro, AL 35768-4218
Phone (256) 259-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170228001762 AL Practitioner - Nurse Practitioner 1951685411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointeGroup PAC ID 1759702111, 9 clinicians

Practice addresses (Care Compare)

24020 John T Reid Pkwy
Scottsboro, AL 35768-2855
Phone (256) 594-8181

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105972ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Family Medicine, LLC Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Healthpointe Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

507 Harley St
Scottsboro, AL 35768
Phone (256) 259-0061

24020 John T Reid Pkwy
Scottsboro, AL 35768
Phone (256) 574-3491

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECGECD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1639615289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-259-0061",
            "fax_number": "256-259-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-259-0061",
            "fax_number": "256-259-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "105972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.