Jody Williams Baker, RN, MSN, APN, C.
Individual provider Active NPI Nurse Practitioner · Sewell, NJ
NPI 1750354593 · NPPES record last updated Oct 8, 2023
Key facts
- NPI
- 1750354593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00065900 (NJ)
- Practice address
- 211 County House Rd
Sewell, NJ 08080-2525 - Phone
- (877) 823-5230
- Fax
- (215) 823-5265
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231027000910 | NJ | Order and Referring Only - General Practice |
5597764696 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00065900 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veterans Affairs | Current | Accepting new patients | |
| South Jersey Radiology Associates P a | Past | Accepting new patients |
Interoperability endpoints
- v4vaphiladelphiagloucesterpact5@direct.va.gov
- jody.baker@direct.va.gov
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00065900 | NJ | Yes |
Addresses
Primary practice location
211 County House Rd
Sewell, NJ 08080-2525
Mailing address
508 Shetland Court
Building a. Side Entrance
Sewell, NJ 08080-2512
Phone (609) 706-8302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121631 | Medicaid | NJ |
Other providers in Sewell, NJ
- Joseph Nunzio Badolato
- Heather Marie Baer
- Surendra K Bagaria
- Stasia M. Bahring
- James William Bailey
- Elizabeth Balis
- John Ballinger
- Louis H Balsama
- Nancy Baltzell-Musuras
- Bancroft a New Jersey Nonprofit Corporation
All providers in Sewell, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.