Individual provider Active NPI

Sarah Renee Baker, NP-C

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1710375191
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2005002070 Issued in MO
Practice address
3130 Wisconsin Ave
Suite 6
Joplin, MO 64804-2873
Phone
(417) 206-9300
Fax
(417) 206-9306
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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 2005002070 MO Primary

Addresses

Primary practice location

3130 Wisconsin Ave
Suite 6
Joplin, MO 64804-2873

Mailing address

PO Box 2009
Joplin, MO 64803-2009
Phone (417) 206-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190318002141 KS Practitioner - Nurse Practitioner 9335464833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Healthcare Associates, LLC 4 clinicians

Practice addresses (Care Compare)

928 N 3Rd St
Fredonia, KS 66736-2166
Phone (620) 288-1030

Hospital & facility affiliations

  • Fredonia Regional Hospital Hospital, Fredonia, KS, CCN 171374
  • Wilson Medical Center Hospital, Neodesha, KS, CCN 171344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005002070MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fredonia Regional Hospital CurrentSince Feb 9, 2019 Accepting new patients
Advanced Healthcare Associates, LLC CurrentSince Jul 22, 2022 Accepting new patients
Fredonia Regional Hospital CurrentSince Feb 9, 2019 Accepting new patients
Bert Chronister, M.D., P.a. PastSince Mar 1, 2019 Accepting new patients

Locations

1527 Madison St
Fredonia, KS 66736
Phone (316) 378-2121

928 N 3rd St
Fredonia, KS 66736
Phone (620) 288-1030

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/

Organizations & group practices 4

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1710375191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032009",
            "telephone_number": "417-206-9300",
            "fax_number": "417-206-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 WISCONSIN AVE",
            "address_2": "SUITE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042873",
            "telephone_number": "417-206-9300",
            "fax_number": "417-206-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SARAH",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2005002070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.