Lacey J Baker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0007059 Issued in CO

Practice address

569 32 Rd Ste 12
Grand Junction, CO 81504-6095

Phone

(970) 523-3544

Fax

(970) 249-5029

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Bloom Colorado LLCGroup PAC ID 2860879368, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bloom Colorado LLC

  • Urgent Care Clinic/Center
  • Grand Junction, CO
  • NPI 1629662267
  Medicare reassignment Care Compare group NPD
• Cedar Point Health LLC

  • Internal Medicine Physician
  • Montrose, CO
  • NPI 1902804032
  Medicare reassignment Care Compare group
• Bloom Colorado LLC

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1679346621
  NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1922566744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 32 RD STE 12",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046095",
            "telephone_number": "970-523-3544",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LACEY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Bain
• James L Bakehouse, CAT
• Jacob Tyler Baker
• Jared Baker
• Jessica Nichole Baker, PHARMD
• Melinda Leeann Baker, LCSW
• Alaina Paige Bakken
• Bradley Alan Baldwin, DO
• Daniel Albert Baldwin, MA
• Jed Jerome Balestrieri, MSW, LCSW

• Physician Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.