Katelyn M Baker, PA-C – Medical Physician Assistant

Key facts

NPI: 1821542564
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: C0006738 (MD)
Practice address: 403 Marvel CT
Easton, MD 21601
Phone: (410) 819-8867
Fax: (410) 819-8873
NPI assigned: Aug 11, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Easton Dermatology Associates, LLC Specialist · Easton, MD · NPI 1104094655

Medicare reassignment Care Compare group MD

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Easton Dermatology Associates, LLC (12 clinicians)

Practice addresses (Care Compare)

403 Marvel Court
Easton, MD 21601-4053

403 Marvel CT
Easton, MD 21601-4053
Phone (410) 819-8867

Merit-based Incentive Payment System (MIPS)

Final score: 92.89 of 100 (group)
Quality: 100
Improvement activities: 40
Cost: 76.29

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20180720000604	MD	Practitioner - Physician Assistant	6608163365	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
C0006738	MD	MD	Medical Physician Assistant

Interoperability endpoints

Direct secure messaging: kmbaker@directaddress.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	C0006738	MD	Yes
Medical Physician Assistant	363AM0700X	10002090A	IN

Addresses

Primary practice location

403 Marvel CT
Easton, MD 21601

Mailing address

403 Marvel CT
Easton, MD 21601-4053
Phone (410) 819-8867

Other identifiers

Identifier	Type	State	Issuer
C0006738	Other	MD	LICENSE

Other names

Miss Katelyn M Strittmather Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2018.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1821542564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-819-8867",
            "fax_number": "410-819-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-819-8867",
            "fax_number": "410-819-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATELYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006738",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002090A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C0006738",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "STRITTMATHER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

All providers in Easton, MD · Medical Physician Assistant in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.