Active NPI
Melissa J Baker, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Clarkson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3004685
- Practice address
- 720 W Main St
Clarkson, KY 42726-7048 - Phone
- (270) 904-5104
- Fax
- (270) 201-5980
- NPI assigned
- May 12, 2006
- Last updated
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3004685 | KY | Primary |
Addresses
Primary practice location
720 W Main St
Clarkson, KY 42726-7048
Mailing address
5966 Scottsville Rd Ste 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100221410 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5966 Scottsville Rd
Suite 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| KW Consulting, LLC | Family | Current | Accepting new patients |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Fuller Life Health and Wellness | Past | Accepting new patients | |
| Reliantmd Telehealth Group PLLC | Past | Accepting new patients |
Locations
1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107
5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189
110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059
720 W Main St
Clarkson, KY 42726
Phone (270) 904-5104
3040 Dolphin Dr
Elizabethtown, KY 42701
Phone (270) 370-1240
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
Interoperability endpoints
- melissa.baker@krogerhealth.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
dba Fuller Life Counseling
- Mental Health Counselor
- Bowling Green, KY
- NPI 1679127781
Family
-
dba Fast Pace Urgent Care
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
dba Fast Pace Health
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Primary Care Nurse Practitioner
- Bowling Green, KY
- NPI 1396625570
-
- Family Medicine Physician
- Austin, TX
- NPI 1447827456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1861443384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5966 SCOTTSVILLE RD STE 3",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047908",
"telephone_number": "270-904-5104",
"fax_number": "270-201-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W MAIN ST",
"city": "CLARKSON",
"state": "KY",
"postal_code": "427267048",
"telephone_number": "270-904-5104",
"fax_number": "270-201-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MELISSA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3004685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100221410",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarkson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.