NPIMap

Carolyn D Baker, NP

Individual provider Active NPI Family Nurse Practitioner · Hastings, MI

NPI 1922042829 · NPPES record last updated Jan 5, 2017

Key facts

NPI
1922042829
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704151642 (MI)
Practice address
1009 W Green St
Hastings, MI 49058-1710
Phone
(616) 391-3139
Fax
(616) 391-3044
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Michigan Em PC (51 clinicians)

Practice addresses (Care Compare)

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061020000050 MI Practitioner - Nurse Practitioner 1153327804 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Henry Ford Pathology Current Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner Current
since Feb 1, 2010		 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Sparrow Ionia Hospital Current
since Sep 1, 2018		 Accepting new patients
Edward W. Sparrow Hospital Association Current
since Apr 1, 2014		 Accepting new patients
Vituity - Michigan Em PC Current
since Oct 21, 2021		 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association Current
since Apr 1, 2014		 Accepting new patients
W.a. Foote Memorial Hospital, Inc Current
since Feb 1, 2010		 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Nurse Practitioner Current
since Oct 15, 2018		 Accepting new patients
Sparrow Ionia Hospital Current
since Sep 1, 2018		 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Current
since Oct 15, 2018		 Accepting new patients
Wa Foote Memorial Hospital Inc. Current
since Sep 1, 2013		 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Cogent Healthcare of Michigan PC Nurse Practitioner Past Accepting new patients
Pennock Hospital Nurse Practitioner Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8175 Reliable Pkwy
Chicago, IL 60686

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1215 E Michigan Ave
#C
Lansing, MI 48912
Phone (517) 364-2050

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: cbaker102814@epic00.shdirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704151642 MI Yes

Addresses

Primary practice location

1009 W Green St
Hastings, MI 49058-1710

Mailing address

100 Michigan Street NE, Mc845
Grand Rapids, MI 49503-2560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2017.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1922042829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN STREET NE, MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581710",
            "telephone_number": "616-391-3139",
            "fax_number": "616-391-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CAROLYN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704151642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

All providers in Hastings, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.