Brian Baker
Individual provider Active NPI Certified Registered Nurse Anesthetist · Edgewood, KY
NPI 1851802011 · NPPES record last updated Jan 2, 2018
Key facts
- NPI
- 1851802011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1144275 (KY)
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-2211
- NPI assigned
- Oct 16, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Group Practice Inc
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2000
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Ft Thomas
- St Elizabeth Florence
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180131001297 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395005961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144275 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Trihealth G LLC | Past | Accepting new patients |
Locations
2845 Chancellor Dr
Ste 100
Crestview Hills, KY 41017
340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
580 S Loop Rd
Ste 100
Edgewood, KY 41017
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1144275 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 1144275 | KY | Yes |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
512 Calumet CT
Fort Thomas, KY 41075-4033
Other providers in Edgewood, KY
- Marcella Babatunde
- Kirsten Lenore Babcock
- James Charles Bailey
- Kaitlyn Bailey
- Alyson Bain
- Christine A Baker
- James Douglas Baker
- Benjamin Allen Bale
- Bradley James Bankers
- Mark Joseph Barbara
All providers in Edgewood, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 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.
- 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.