Alicia Caroline Baker, FNP
Individual provider Active NPI Family Nurse Practitioner · Washington, MO
NPI 1831798792 · NPPES record last updated Oct 21, 2020
Key facts
- NPI
- 1831798792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2020005287 (MO)
- Practice address
- 1070 W 7TH St
Washington, MO 63090 - Phone
- (573) 619-3615
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospitals East Communities
Practice addresses (Care Compare)
901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8000
Hospital & facility affiliations
- Mercy Hospital Washington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20201214000818 | MO | Practitioner - Nurse Practitioner | 0749692994 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Lincoln | Current |
Accepting new patients | |
| Mercy Hospitals East Communities | Current |
Accepting new patients | |
| Mercy Hospitals East Communities | Current |
Accepting new patients |
Locations
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2020005287 | MO | Yes |
Addresses
Primary practice location
1070 W 7TH St
Washington, MO 63090
Mailing address
1070 W 7TH St
Washington, MO 63090
Phone (573) 619-3615
Other providers in Washington, MO
- Axes Physical Therapy I, LLC
- Axes Physical Therapy I, LLC
- Bryce A Ayers
- Tamara Bailey
- Kelly J Bain
- Tim Baker
- Audrey Grace Bales
- Karen A Balk
- Jacquelyn N Ball
- Dilip Banerjee
All providers in Washington, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2020. 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.