Shirley Jeanne Baker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02294 Issued in TX

Practice address

623 W Lassater
Centerville, TX 75833-1959

Phone

(903) 289-1070

Fax

(936) 744-1419

NPI assigned

Jun 20, 2006

Last updated

Sep 12, 2024By the provider in NPPES

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

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brazos Valley Community Action Agency IncGroup PAC ID 4284542127, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Traditions Health Home health agency, Madisonville, TX, CCN 747834
• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shirley.baker@hptx.eclinicaldirectplus.com

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.

• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Bryan, TX
  • NPI 1649265646
  Medicare reassignment Care Compare group NPD
• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Navasota, TX
  • NPI 1700973187
  NPD
• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Caldwell, TX
  • NPI 1609150465
  NPD (past)
• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Obstetrics Physician
  • College Station, TX
  • NPI 1811171580
  NPD (past)

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

• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Medical Center

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Rehabilitation Hospital

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  dba CHI St. Joseph Health College Station Hospital

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation
• Traditions Health Care of Madisonville, LLC

  dba Traditions Health

  • Home Health Agency
  • Madisonville, TX
  • NPI 1437429065
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1972549947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E",
            "address_2": "#100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-846-1100",
            "fax_number": "979-260-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W LASSATER",
            "city": "CENTERVILLE",
            "state": "TX",
            "postal_code": "758331959",
            "telephone_number": "903-289-1070",
            "fax_number": "936-744-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SHIRLEY",
        "middle_name": "JEANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000951608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185649401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AGENCY",
            "identifier": "1821185299",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183142201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187842301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "741715140",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CLINIC",
            "identifier": "1568519122",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Community Action Agency, Inc. (HealthPoint)
• Centerville Healthcare Center
• Dandelion Counseling
• Dennis James Ellison, DDS
• Kelli Franklin, MS, LPC, LCDC

• Physician Assistant in Centerville, TX
• Providers in Centerville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.