MR. RICHARD JOSPEH BAKER – Certified Registered Nurse Anesthetist, NPI 1376879122

MR. RICHARD JOSPEH BAKER is a healthcare provider. based in Mendota, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 209007858 (IL). The NPI Number for MR. RICHARD JOSPEH BAKER is 1376879122

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD JOSPEH BAKER
NPI
1376879122
Phone
(815) 539-7461
Address
1401 E 12TH ST
Enumeration Date
29 October 2009
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478825888
Graduation Year
2009 (17 years ago)
PAC ID
2163564253
Group Practice PAC ID
7618100751
Professional Enrollment ID
I20100128000156
Address ID
IL601735423SC1375XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for MR. RICHARD JOSPEH BAKER

  • OSF Saint Paul Medical Center, 1401, East 12th Street, Mendota, LaSalle County, Illinois, 61342, United States

    MENDOTA, IL 613429216

    Phone: (815) 539-7461

    Fax: (815) 538-5516

    Mailing address matches the actual address.

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: 2010-01-28

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
I20100128000156ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2704Injection, propofol, 10 mg48013$0
00160Anesthesia for other procedure on nose and sinuses1515$0
View full utilization report →

Insurance plans in this area (ZIP 61342)

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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: 7618100751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-IL
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How is MR. RICHARD JOSPEH BAKER identified in CMS data?
CMS-hosted NPPES data lists MR. RICHARD JOSPEH BAKER with NPI 1376879122.
Can I rely on MR. RICHARD JOSPEH BAKER being an active provider?
As of the registry snapshot, MR. RICHARD JOSPEH BAKER is marked active.
What taxonomy line describes MR. RICHARD JOSPEH BAKER?
For research purposes, treat MR. RICHARD JOSPEH BAKER as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. RICHARD JOSPEH BAKER based?
MR. RICHARD JOSPEH BAKER is tied to Mendota, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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