TRACEY L BAKER (FNP) – Family Nurse Practitioner, NPI 1508071515

TRACEY L BAKER (FNP) is a healthcare provider. based in Barnesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN097754 (GA). The NPI Number for TRACEY L BAKER (FNP) is 1508071515

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY L BAKER (FNP)
NPI
1508071515
Phone
(770) 358-5476
Address
419 COLLEGE DR
Enumeration Date
12 May 2007
Last Update Date
8 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
1052645108
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20190625000409
Address ID
GA302141578FA101XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for TRACEY L BAKER (FNP)

  • Gordon State College, 419, College Drive, Barnesville, Lamar County, Georgia, 30204, United States

    BARNESVILLE, GA 302041746

    Phone: (770) 358-5476

    Fax: (770) 358-5102

    Type: Location

  • 202, Larcom Lane, Griffin, Spalding County, Georgia, 30224, United States

    GRIFFIN, GA 302244905

    Phone: (404) 557-2604

    Type: Mailing

  • 747 S HILL ST

    GRIFFIN, GA 302244830

    Phone: (770) 228-5407

    Fax: (770) 228-5408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($61).

Total Amount

$191

General + Research + Ownership

Payments

9

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-25

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
I20190625000409INurse PractitionerGATBD

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 30204)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to TRACEY L BAKER (FNP)?
NPI 1508071515 is assigned to TRACEY L BAKER (FNP) under the national enumeration system.
Is TRACEY L BAKER (FNP)'s NPI currently valid?
The extract we use shows TRACEY L BAKER (FNP) as active.
What kind of provider is TRACEY L BAKER (FNP)?
The page reflects Family Nurse Practitioner for TRACEY L BAKER (FNP). Clinical services aligned with this taxonomy classification.
Where is TRACEY L BAKER (FNP)'s primary listing?
We display Barnesville, Georgia because that is what the record indicates for TRACEY L BAKER (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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