Individual provider Active NPI

Lisa Marie Baker, FNP

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1669196424
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022616 Issued in CA
Practice address
2497 Herndon Ave Ste 102
Clovis, CA 93611-8977
Phone
(559) 450-8886
Fax
(559) 450-8887
NPI assigned
Sep 26, 2022
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022616 CA Primary
Registered Nurse 163W00000X 95037402 CA

Addresses

Primary practice location

2497 Herndon Ave Ste 102
Clovis, CA 93611-8977

Mailing address

2497 Herndon Ave Ste 102
Clovis, CA 93611-8977
Phone (559) 450-8886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240223002977 CA Practitioner - Nurse Practitioner 8224473749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

2497 Herndon Ave
Suite 102
Clovis, CA 93611-8977
Phone (559) 450-8886

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022616CAMDFamily Nurse Practitioner
95037402CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Mar 1, 2024 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Saint Agnes Medical Foundation CurrentSince Aug 24, 2024 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Fresno Community Hospital and Medical Center PastSince Aug 24, 2024 Accepting new patients

Locations

2497 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 450-8886

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7050 N Recreation Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-3515

Interoperability endpoints

  • Direct secure messaging: lbaker3770766@direct.trinity-health.org

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.

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1669196424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 HERNDON AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118977",
            "telephone_number": "559-450-8886",
            "fax_number": "559-450-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 HERNDON AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118977",
            "telephone_number": "559-450-8886",
            "fax_number": "559-450-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022616",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95037402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.