Individual provider Active NPI

Nicole Marie Baker, PA-C

  • Physician Assistant
  • York, PA
National Provider Identifier
1710439237
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066490 Issued in PA
Practice address
30 Monument Rd Ste 1100
York, PA 17403-5024
Phone
(717) 851-6000
Fax
(717) 851-3521
NPI assigned
Nov 1, 2016
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA066490 PA Primary
Physician Assistant 363A00000X 5601007915 MI
Physician Assistant 363A00000X PA12509 TX

Addresses

Primary practice location

30 Monument Rd Ste 1100
York, PA 17403-5024

Mailing address

30 Monument Rd
York, PA 17403-5024
Phone (717) 851-2441

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 851-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 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
I20230930000037 TX Practitioner - Physician Assistant 0749560035 Reassigns benefits to 2 organizations
I20251016002770 PA Practitioner - Physician Assistant 0749560035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Good Samaritan Physician ServicesGroup PAC ID 5496728172, 102 clinicians

Practice addresses (Care Compare)

11212 State Hwy
151 Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000

11212 State Hwy 151
Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000

30 Monument Rd
York, PA 17403-5024
Phone (717) 851-6000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12509TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Mar 4, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2023 Accepting new patients
Good Samaritan Physician Services CurrentSince Oct 13, 2025 Accepting new patients
Good Samaritan Physician Services Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 4, 2024 Accepting new patients

Locations

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

1001 S George St
York, PA 17403
Phone (717) 812-7687

30 Monument Rd
York, PA 17403
Phone (717) 851-2441

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

11130 Christus Hls
Ste 207
San Antonio, TX 78251
Phone (210) 228-0044

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

11212 State Highway 151
Ste 100
San Antonio, TX 78251
Phone (210) 450-9900

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: nbaker357326@christushealth.direct-ci.net
  • Direct secure messaging: nbaker527407@wellspan.direct-ci.com

Organizations & group practices 7

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 7

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1710439237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MONUMENT RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035024",
            "telephone_number": "717-851-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MONUMENT RD STE 1100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035024",
            "telephone_number": "717-851-6000",
            "fax_number": "717-851-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066490",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007915",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.