EBONY BAKER (NP) – Family Nurse Practitioner, NPI 1427447564

EBONY BAKER (NP) is a healthcare provider. based in Weiner, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. A005116 (AR). The NPI Number for EBONY BAKER (NP) is 1427447564

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EBONY BAKER (NP)
NPI
1427447564
Phone
(870) 605-0014
Address
106 N VAN BUREN ST
Enumeration Date
13 January 2015
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8706050014
Graduation Year
2016 (10 years ago)
PAC ID
7810264132
Group Practice PAC ID
0547618175
Professional Enrollment ID
I20170517000265
Address ID
AR724799289WE106XXSTXX500

Contacts

Secure Messaging
ebony.lewis@eastarkan.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for EBONY BAKER (NP)

  • 106 N VAN BUREN ST

    WEINER, AR 724799289

    Phone: (870) 605-0014

    Type: Location

  • 1825 E BROADWAY ST

    FORREST CITY, AR 723353409

    Phone: (870) 630-2328

    Fax: (870) 630-2348

    Type: Location

  • 900 N 7TH ST

    WEST MEMPHIS, AR 723012001

    Phone: (870) 735-3842

    Fax: (870) 394-4872

    Type: Mailing

  • 4196 HIGHWAY 62 412 STE A

    HARDY, AR 725428002

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170517000265INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72479)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547618175View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Family PracticeAR
Nurse PractitionerAR
H O S P I T A L I S TAR

Reviews

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Frequently asked questions

What unique ID ties claims to EBONY BAKER (NP)?
NPI 1427447564 is assigned to EBONY BAKER (NP) under the national enumeration system.
Is EBONY BAKER (NP) active in the national directory?
EBONY BAKER (NP)'s public NPI profile is in an active state.
Does EBONY BAKER (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for EBONY BAKER (NP). Clinical services aligned with this taxonomy classification.
Where is EBONY BAKER (NP)'s primary listing?
We display Weiner, Arkansas because that is what the record indicates for EBONY BAKER (NP).
How can I contact EBONY BAKER (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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