Individual provider Active NPI

Mary Fulcher Baker, FNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1750615282
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167967 Issued in VA
Practice address
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone
(513) 853-8520
Fax
(513) 442-7695
NPI assigned
Oct 1, 2009
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024167967 VA Primary

Addresses

Primary practice location

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone (513) 853-8520

Other practice location 1

14051 St Francis Blvd
Suite 2210
Midlothian, VA 23114-3201
Phone (804) 594-3130

Other identifiers 3

IdentifierTypeStateIssuer
C06115OtherVAGROUP PTAN
C09633OtherVAGROUP PTAN
C06778OtherVAGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110503000486 VA Practitioner - Nurse Practitioner 0143405399 Reassigns benefits to 3 organizations
I20220916001368 OH Practitioner - Nurse Practitioner 0143405399
I20230619000998 SC Practitioner - Nurse Practitioner 0143405399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Greenville, SC 29607-6585
Phone (513) 853-8520

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26592SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Aug 2, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince May 6, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Primary Care LLC CurrentSince Jul 3, 2023 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 2, 2022 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC CurrentSince Jul 3, 2023 Accepting new patients
St Francis Physician Services Inc CurrentSince May 6, 2023 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Mercy Health Physicians Kentucky LLC CurrentSince Apr 12, 2024 Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Past Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Past Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours-Richmond Community Hospital LLC Past Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Interoperability endpoints

  • Direct secure messaging: mbaker1149263@direct.bsmhealth.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1750615282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14051 St Francis Blvd",
            "address_2": "Suite 2210",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231143201",
            "country_code": "US",
            "telephone_number": "804-594-3130",
            "fax_number": "804-594-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARY",
        "middle_name": "FULCHER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.