Individual provider Active NPI

Melissa J Baker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarkson, KY
National Provider Identifier
1861443384
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3004685 Issued in KY
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100221410MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060629000373 KY Practitioner - Nurse Practitioner 3678585064 Reassigns benefits to 3 organizations

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
KW Consulting LLCGroup PAC ID 6901291756, 26 clinicians

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

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Dec 28, 2022 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 1, 2022 Accepting new patients
KW Consulting, LLC Family CurrentSince Jul 30, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Fuller Life Health and Wellness PastSince Dec 14, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.