Individual provider Active NPI

Carolyn D Baker, NP

  • Family Nurse Practitioner
  • Hastings, MI
National Provider Identifier
1922042829
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704151642 Issued in MI
Practice address
1009 W Green St
Hastings, MI 49058-1710
Phone
(616) 391-3139
Fax
(616) 391-3044
NPI assigned
Jun 15, 2006
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

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

Addresses

Primary practice location

1009 W Green St
Hastings, MI 49058-1710

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061020000050 MI Practitioner - Nurse Practitioner 1153327804 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Michigan Em PCGroup PAC ID 8022414010, 51 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704151642MIMDFamily Nurse Practitioner

Practice roles

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

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

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

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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.