Individual provider Active NPI

Robin L Baker, D.C.

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1952363418
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3289-012 Issued in WI
Practice address
2809 Merrill Ave
Wausau, WI 54401-1853
Phone
(715) 675-4106
Fax
(715) 675-4105
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3289-012 WI Primary

Addresses

Primary practice location

2809 Merrill Ave
Wausau, WI 54401-1853

Mailing address

2809 Merrill Ave
Wausau, WI 54401-1853
Phone (715) 675-4106

Other identifiers 1

IdentifierTypeStateIssuer
38900800MedicaidWI

Other names 1

  • Robin L Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000827 WI Practitioner - Chiropractic 5294723979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Baker Borski Chiropractic SCGroup PAC ID 8820073844, 2 clinicians

Practice addresses (Care Compare)

2809 Merrill Ave
Wausau, WI 54401-1853
Phone (715) 675-4106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Borski Chiropractic SC Chiropractor CurrentSince Apr 1, 2004 Accepting new patients

Locations

2809 Merrill Ave
Wausau, WI 54401
Phone (715) 675-4106

Interoperability endpoints

  • Direct secure messaging: bird@bc0037.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1952363418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011853",
            "telephone_number": "715-675-4106",
            "fax_number": "715-675-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011853",
            "telephone_number": "715-675-4106",
            "fax_number": "715-675-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3289-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38900800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "BAKER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.