Individual provider Active NPI

Chrissy Jo Baker, APRN

  • Family Nurse Practitioner
  • North Fort Myers, FL
National Provider Identifier
1760011605
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015248 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, FL2 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
I20230522002507 IN Practitioner - Nurse Practitioner 5193181816 Reassigns benefits to 1 organization
I20240314004275 FL Practitioner - Nurse Practitioner 5193181816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

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

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Single Specialty CurrentSince May 6, 2024 Accepting new patients
Pcma Palliative Division LLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince May 6, 2024 Accepting new patients
Mana Health Partners PA Single Specialty CurrentSince Dec 1, 2024 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.

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

Verify at the official NPI Registry.