Individual provider Active NPI

McKenzie Baker, CNP

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1801305859
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021756 Issued in OH
Practice address
1260 Independence Ave
Akron, OH 44310-1812
Phone
(234) 312-2111
NPI assigned
Sep 21, 2017
Last updated
Dec 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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 APRN.CNP.021756 OH Primary
Registered Nurse 163W00000X RN.393776 OH

Addresses

Primary practice location

1260 Independence Ave
Akron, OH 44310-1812

Mailing address

1590 11TH St
Cuyahoga Falls, OH 44221-4649
Phone (330) 790-1615

Other practice location 1

1590 11th St
Cuyahoga Falls, OH 44221-4649
Phone (330) 790-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171020002405 OH Practitioner - Nurse Practitioner 9638445562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4565 Dressler Rd NW
Suite 111
Canton, OH 44718-2576
Phone (330) 493-0013

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.393776OHMDRegistered Nurse
APRN.CNP.021756OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Associates of Stark County Incorporated CurrentSince Feb 9, 2026 Accepting new patients
Summa Physicians LLC CurrentSince Dec 11, 2023 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Dec 11, 2023 Accepting new patients
Mobile Medical, Inc. CurrentSince Mar 19, 2021 Accepting new patients
Mobile Medical, Inc. CurrentSince Mar 19, 2021 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

1260 Independence Ave
Akron, OH 44310
Phone (234) 312-2111

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

4565 Dressler Rd NW
Ste 111
Canton, OH 44718
Phone (216) 493-0013

2801 E Royalton Rd
Cleveland, OH 44147
Phone (440) 526-4470

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1801305859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 11TH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214649",
            "telephone_number": "330-790-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INDEPENDENCE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101812",
            "telephone_number": "234-312-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 11th St",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442214649",
            "country_code": "US",
            "telephone_number": "330-790-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MCKENZIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021756",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.393776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.