Individual provider Active NPI

Julie R Bakerman, ACNP

  • Acute Care Nurse Practitioner
  • Phoeniz, AZ
National Provider Identifier
1861874893
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP7860 Issued in AZ
Practice address
5922 E Calle Tuberia
Phoeniz, AZ 85018-4636
Phone
(480) 789-0304
Fax
(480) 992-8330
NPI assigned
Jun 25, 2015
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP7860 AZ Primary
Registered Nurse 163W00000X RN163123 AZ

Addresses

Primary practice location

5922 E Calle Tuberia
Phoeniz, AZ 85018-4636

Mailing address

5922 E Calle Tuberia
Phoenix, AZ 85018-4636
Phone (480) 789-0304

Other practice location 1

5922 E Calle Tuberia
Phoenix, AZ 85018-4636
Phone (480) 789-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170928004117 AZ Practitioner - Nurse Practitioner 5698040715 Reassigns benefits to 1 organization
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN163123AZMDRegistered Nurse
AP7860AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JB Medical Solutions, PLLC CurrentSince Apr 30, 2025 Accepting new patients

Locations

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Organizations & group practices 1

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1861874893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 E CALLE TUBERIA",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184636",
            "telephone_number": "480-789-0304",
            "fax_number": "602-731-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 E CALLE TUBERIA",
            "city": "PHOENIZ",
            "state": "AZ",
            "postal_code": "850184636",
            "telephone_number": "480-789-0304",
            "fax_number": "480-992-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5922 E Calle Tuberia",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850184636",
            "country_code": "US",
            "telephone_number": "480-789-0304",
            "fax_number": "602-731-8373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKERMAN",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7860",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN163123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoeniz, AZ

Sources for this page

Verify at the official NPI Registry.