Jeremy Baker
Individual provider Active NPI Case Manager/Care Coordinator · Wynne, AR
NPI 1750256129 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1750256129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 116 Mississippi St S
Wynne, AR 72396-3024 - Phone
- (870) 208-8499
- Fax
- (870) 587-0576
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changes Behavioral Health, LLC | Current |
Accepting new patients |
Locations
204 Mississippi St S
Wynne, AR 72396
Phone (870) 208-8499
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
116 Mississippi St S
Wynne, AR 72396-3024
Mailing address
204 Mississippi St S
Wynne, AR 72396-3025
Phone (870) 208-8499
Other providers in Wynne, AR
- Arcare
- Arcare
- Arkansas Ready Rides Non-Emergency Transportation Service
- Brina Bailey
- Jeremy Bailey
- Kayla Baker
- Mandi Machelle Ball
- Avante Banks
- Laura Beth Bassham
- Robert Walton Bassham
All providers in Wynne, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.