Active NPI
Marybeth Molly Baker, APRN, BC
- Adult Health Nurse Practitioner
- Danvers, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2006004404-21
- Practice address
- 1 Hutchinson Dr
2ND Floor
Danvers, MA 01923-3759 - Phone
- (978) 739-6950
- Fax
- (978) 777-9274
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2006004404-21 | MA | Primary |
Addresses
Primary practice location
1 Hutchinson Dr
2ND Floor
Danvers, MA 01923-3759
Mailing address
276 Chestnut Hill Ave
Apt. #14
Brighton, MA 02135-5936
Phone (617) 840-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006004404-21 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
1 Hutchinson Dr
Ste 2
Danvers, MA 01923
Phone (978) 739-6950
400 Highland Ave
Salem, MA 01970
Phone (781) 599-0220
Interoperability endpoints
- baker.marybeth.nsmc@direct.partners.masshiway.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972515583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 CHESTNUT HILL AVE",
"address_2": "APT. #14",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021355936",
"telephone_number": "617-840-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HUTCHINSON DR",
"address_2": "2ND FLOOR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233759",
"telephone_number": "978-739-6950",
"fax_number": "978-777-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MARYBETH",
"middle_name": "MOLLY",
"name_prefix": "Mrs.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "2006004404-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.