Active NPI
Chrissy Jo Baker, APRN
- Family Nurse Practitioner
- North Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11015248
- Practice address
- 15201 N Cleveland Ave Ste 1010
North Fort Myers, FL 33903-2717 - Phone
- (833) 674-2500
- NPI assigned
- Apr 3, 2020
- Last updated
- May 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 28220234A | IN | |
| Family Nurse Practitioner | 363LF0000X | APRN11015248 | FL | Primary |
Addresses
Primary practice location
15201 N Cleveland Ave Ste 1010
North Fort Myers, FL 33903-2717
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
10241 E County Road 100 N
Indianapolis, IN 46234-9016
Phone (000) 000-0000
Other practice location 2
12 E Washington St
Greencastle, IN 46135-1545
Phone (765) 247-0848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Single Specialty | Current | Accepting new patients |
| Pcma Palliative Division LLC | Single Specialty | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Mana Health Partners PA | Single Specialty | Current | Accepting new patients |
Locations
3735 Evans Ave
Fort Myers, FL 33901
Phone (239) 277-3977
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
15201 N Cleveland Ave
Ste 1010
North Fort Myers, FL 33903
Phone (833) 674-2500
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025
Organizations & group practices 5
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.
-
dba Pcma Medical Group LLC Sole MBR
- Hospice and Palliative Medicine (Family Medicine) Physician
- Pittsburgh, PA
- NPI 1629585054
FL, Single Specialty
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Single Specialty
-
dba Lifes Journey of Avon LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Indianapolis, IN
- NPI 1497417828
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1760011605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15201 N CLEVELAND AVE STE 1010",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339032717",
"telephone_number": "833-674-2500"
}
],
"practiceLocations": [
{
"address_1": "10241 E County Road 100 N",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462349016",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 E Washington St",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "IN",
"postal_code": "461351545",
"country_code": "US",
"telephone_number": "765-247-0848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "CHRISSY",
"middle_name": "JO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "IN",
"license": "28220234A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11015248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.