Individual provider Active NPI

Kirsten Baker, PA-C

  • Physician Assistant
  • Black Rock, AR
National Provider Identifier
1932831880
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3519 Highway 63
Black Rock, AR 72415-9022
Phone
(870) 878-4005
NPI assigned
Jun 29, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3519 Highway 63
Black Rock, AR 72415-9022

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230908002199 MO Practitioner - Physician Assistant 3577927557 Reassigns benefits to 2 organizations
I20250429003123 AR Practitioner - Physician Assistant 3577927557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians
Doctors Health Group, IncGroup PAC ID 7315844586, 23 clinicians

Practice addresses (Care Compare)

1001 W Parker Rd
Jonesboro, AR 72404-9582
Phone (870) 972-8181

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

1312 1St St
Kennett, MO 63857-2526
Phone (573) 559-2780

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005

3644 W State Hwy 18
Manila, AR 72442-8049
Phone (870) 935-6729

3809 E 9TH St
Texarkana, AR 71854-5818
Phone (870) 621-0080

4000 Linwood Dr
Suite a
Paragould, AR 72450-7224
Phone (870) 239-8503

4000 Linwood Dr
Suite a
Paragould, AR 72450-8894

4196 Hwy 62 412
Hardy, AR 72542-8002
Phone (870) 994-7301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Apr 1, 2025 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Apr 21, 2025 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Doctors Health Group, Inc CurrentSince Apr 21, 2025 Accepting new patients
Doctors Health Group, Inc CurrentSince Apr 21, 2025 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Apr 1, 2025 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Apr 21, 2025 Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients

Locations

3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

1312 1st St
Kennett, MO 63857
Phone (573) 559-2780

Interoperability endpoints

  • Direct secure messaging: kirsten.baker.1@2424.direct.athenahealth.com
  • Direct secure messaging: klbaker@sbpc.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1932831880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 HIGHWAY 63",
            "city": "BLACK ROCK",
            "state": "AR",
            "postal_code": "724159022",
            "telephone_number": "870-878-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KIRSTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Rock, AR

Sources for this page

Verify at the official NPI Registry.