Active NPI
Nancy Michele Baker, M.D.
- Family Medicine Physician
- Vero Beach, FL
National Provider Identifier
1972661577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME78872
- Practice address
- 908 E Causeway Blvd
Vero Beach, FL 32963-2234 - Phone
- (772) 494-5815
- Fax
- (772) 778-6293
- NPI assigned
- Dec 5, 2006
- Last updated
- Feb 23, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME78872 | FL | Primary |
Addresses
Primary practice location
908 E Causeway Blvd
Vero Beach, FL 32963-2234
Mailing address
908 E Causeway Blvd
Vero Beach, FL 32963-2234
Phone (772) 494-5815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 14, 2020 through Dec 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78872 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Mattice MD | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- nancy.baker@268869629509636.direct.elationemr.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1972661577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 E CAUSEWAY BLVD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632234",
"telephone_number": "772-494-5815",
"fax_number": "772-778-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 E CAUSEWAY BLVD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632234",
"telephone_number": "772-494-5815",
"fax_number": "772-778-6293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "NANCY",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME78872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.