Individual provider Active NPI

Jennie Elizabeth Baker, APN

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1770866360
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03598 Issued in AR
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 24 clinicians

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

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Oct 13, 2014 Accepting new patients
Arkansas Health Group CurrentSince Oct 13, 2014 Accepting new patients
Roller Weight Loss Institute Inc CurrentSince Jan 2, 2018 Accepting new patients
Roller Weight Loss Institute,Inc. CurrentSince Jan 2, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.