Jenna Kay Baker, PA-C
Individual provider Active NPI Physician Assistant · Mocksville, NC
NPI 1679007066 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1679007066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-07337 (NC)
- Practice address
- 154 Government Center Dr
Mocksville, NC 27028-6299 - Phone
- (336) 753-6500
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926002786 | NC | Practitioner - Physician Assistant | 2860766078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-07337 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Emergency Providers | Past |
Accepting new patients |
Interoperability endpoints
- jbaker2755233@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-07337 | NC | |
| Physician Assistant | 363A00000X | 0010-07337 | NC | Yes |
Addresses
Primary practice location
154 Government Center Dr
Mocksville, NC 27028-6299
Mailing address
154 Government Plaza Drive
Mocksville, NC 27028
Phone (336) 753-6500
Other practice location 1
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (810) 569-0804
Other practice location 2
1370 W D St
North Wilkesboro, NC 28659
Phone (336) 716-2255
Other providers in Mocksville, NC
- Christopher Britt Atkins
- Clio Hamilton Austin
- Autumn Corporation
- Autumn Corporation
- Samantha Bryanna-Norabuena Bahena
- Graydon Balch
- Baptist Medical Center
- Grant Somers Bare
- Suzanne Barnhardt
- Kaylee Beck
All providers in Mocksville, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.