Sujin Baek

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APN.0995805-NP Issued in CO

Practice address

11275 E Mississippi Ave Ste 1E8
Aurora, CO 80012-2818

Phone

(303) 955-1362

Fax

(303) 647-3868

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Baek Primary Clinic LLC

  • Primary Care Clinic/Center
  • Aurora, CO
  • NPI 1467214221

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1831626423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 1E8",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122818",
            "telephone_number": "303-955-1362",
            "fax_number": "303-647-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 1E8",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122818",
            "telephone_number": "303-955-1362",
            "fax_number": "303-647-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "SUJIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0995805-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Lennon Badgley
• Lisa Badowski, OD, MS
• Amiran Baduashvili, M.D.
• Baek Primary Clinic LLC
• Christopher Baek
• Heather Baer, MD
• Thomas J. Baesl, MD
• Catherine Elizabeth Baessler, NP
• David C. Baez, MD
• Bafflink Home Health Services

• All providers in Aurora, CO
• Primary Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.

Verify at the official NPI Registry.