Active NPI
Ashley Nicole Baker, APRN
- Family Nurse Practitioner
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005473
- Practice address
- 101 Skyline Dr
Russellville, AR 72801-3395 - Phone
- (479) 968-2345
- Fax
- (479) 890-2497
- NPI assigned
- Feb 9, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005473 | AR | Primary |
Addresses
Primary practice location
101 Skyline Dr
Russellville, AR 72801-3395
Mailing address
101 Skyline Dr
Russellville, AR 72801-3395
Phone (479) 508-7291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180503000935 | AR | Practitioner - Nurse Practitioner | 4284998022 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Physician Services LLC
Practice addresses (Care Compare)
101 Skyline Dr
Russellville, AR 72801-3363
Phone (479) 968-2345
Hospital & facility affiliations
- Care IV Home Health
- St Marys Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005473 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Physician Services, LLC | Current | Accepting new patients | |
| St Mary'S Physician Services LLC | Current | Accepting new patients | |
| St Marys Physician Services, LLC | Past | Accepting new patients |
Locations
1600 W C Pl
Russellville, AR 72801
Phone (479) 967-7717
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Russellville, AR
- NPI 1063626117
-
- Interventional Cardiology Physician
- Russellville, AR
- NPI 1720356207
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Russellville, AR
- NPI 1235149212
-
- Home Health Agency
- Little Rock, AR
- NPI 1275520652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1891294443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SKYLINE DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013395",
"telephone_number": "479-508-7291",
"fax_number": "479-890-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SKYLINE DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013395",
"telephone_number": "479-968-2345",
"fax_number": "479-890-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2024-10-18",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.