Active NPI
Jennie Elizabeth Baker, APN
- Family Nurse Practitioner
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A03598
- Practice address
- 1695 E Rainforest Rd
Fayetteville, AR 72703-5385 - Phone
- (479) 445-6460
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A003598 | AR | |
| Family Nurse Practitioner | 363LF0000X | A03598 | AR | Primary |
Addresses
Primary practice location
1695 E Rainforest Rd
Fayetteville, AR 72703-5385
Mailing address
1695 E Rainforest Rd
Fayetteville, AR 72703-5385
Phone (479) 445-6460
Other practice location 1
3401 Atwood Rd
Suite B
Little Rock, AR 72206-6012
Phone (501) 888-1969
Other practice location 2
3401 Atwood Rd
Suite B
Little Rock, AR 72206-6012
Phone (501) 888-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111026000507 | AR | Practitioner - Nurse Practitioner | 9032382619 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roller Weight Loss Institute, Inc.
Practice addresses (Care Compare)
1695 E Rainforest Rd
Fayetteville, AR 72703-5385
Phone (479) 445-6460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Roller Weight Loss Institute Inc | Current | Accepting new patients | |
| Roller Weight Loss Institute,Inc. | Current | Accepting new patients | |
| Shawn Cones, M.D., PLLC, PA | Past | Accepting new patients | |
| Shawn Cones, M.D., PLLC, PA | Past | Accepting new patients |
Locations
1695 E Rainforest Rd
Ste 2
Fayetteville, AR 72703
Phone (479) 445-6460
1695 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 445-6460
12112 Highway 71 S
Fort Smith, AR 72916
Phone (479) 434-5350
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
505 W Pershing Blvd
Ste C
North Little Rock, AR 72114
Phone (501) 758-1002
Interoperability endpoints
- rollerweightlossandadvancedsurgery.jenniebaker@118248.advancedmd-direct.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Tulsa, OK
- NPI 1912446741
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1740626480
-
- Primary Care Clinic/Center
- Little Rock, AR
- NPI 1841593555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770866360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 E RAINFOREST RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035385",
"telephone_number": "479-445-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 E RAINFOREST RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035385",
"telephone_number": "479-445-6460"
}
],
"practiceLocations": [
{
"address_1": "3401 Atwood Rd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722066012",
"country_code": "US",
"telephone_number": "501-888-1969",
"fax_number": "501-888-4345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Atwood Rd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722066012",
"country_code": "US",
"telephone_number": "501-888-1969",
"fax_number": "501-888-4345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "JENNIE",
"middle_name": "ELIZABETH",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A003598",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A03598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.