Individual provider Active NPI

Jessica Baker, NP

  • Nurse Practitioner
  • Angola, IN
National Provider Identifier
1942968565
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28211786A Issued in IN
Practice address
3250 Intertech Dr Ste a
Angola, IN 46703-7224
Phone
(260) 665-2646
Fax
(260) 665-8707
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28211786A IN Primary

Addresses

Primary practice location

3250 Intertech Dr Ste a
Angola, IN 46703-7224

Mailing address

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2646

Other names 1

  • Jessica Joice Former name

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Memorial Community Hospital Inc 83 clinicians

Practice addresses (Care Compare)

1500 W Maumee St
Angola, IN 46703-8605
Phone (260) 667-5670

3250 Intertech Dr
Suite a
Angola, IN 46703-7224
Phone (260) 665-2646

Hospital & facility affiliations

  • Cameron Health Hospital, Angola, IN, CCN 151315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211209000981 IN Practitioner - Nurse Practitioner 9436549276 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Memorial Community Hospital, Inc. CurrentSince Nov 18, 2021 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Nov 18, 2021 Accepting new patients
Cameron Memorial Community Hospital Inc Past Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

1500 W Maumee St
Angola, IN 46703
Phone (260) 665-8494

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

306 E Maumee St
Ste 101
Angola, IN 46703
Phone (260) 432-8647

3250 Intertech Dr
Ste A
Angola, IN 46703
Phone (260) 665-2646

Interoperability endpoints

  • Direct secure messaging: jbaker477326@direct.parkviewexchange.com

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1942968565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032015",
            "telephone_number": "260-665-2646",
            "fax_number": "260-665-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 INTERTECH DR STE A",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037224",
            "telephone_number": "260-665-2646",
            "fax_number": "260-665-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28211786A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JOICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.