STEPHEN NICHOLAS BAKER (PA-C) – Physician Assistant, NPI 1063273142

STEPHEN NICHOLAS BAKER (PA-C) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. TC098 (KY). The NPI Number for STEPHEN NICHOLAS BAKER (PA-C) is 1063273142

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN NICHOLAS BAKER (PA-C)
NPI
1063273142
Phone
(592) 264-1815
Address
120 PROSPEROUS PL STE 102
Enumeration Date
17 January 2024
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
8592641815
Graduation Year
2023 (3 years ago)
PAC ID
2365886348
Group Practice PAC ID
1052402260
Professional Enrollment ID
I20240217000420
Address ID
KY405091866LE120XXPLXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for STEPHEN NICHOLAS BAKER (PA-C)

  • 120 PROSPEROUS PL STE 102

    LEXINGTON, KY 405091866

    Phone: (592) 264-1815

    Fax: (859) 264-1820

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Amgen Inc. ($38).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2024-02-17

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
I20240217000420IPhysician AssistantKYTBD

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 40509)

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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: 1052402260View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerME
Pain Management, AnesthesiologyKY
-KY
-KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I cross-check STEPHEN NICHOLAS BAKER (PA-C) using NPI 1063273142?
NPI 1063273142 belongs to STEPHEN NICHOLAS BAKER (PA-C); compare other details if you need extra assurance.
Is STEPHEN NICHOLAS BAKER (PA-C) still an active registrant?
STEPHEN NICHOLAS BAKER (PA-C) carries an active NPI according to the public dataset.
How would a patient describe STEPHEN NICHOLAS BAKER (PA-C)'s focus?
For STEPHEN NICHOLAS BAKER (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Kentucky is STEPHEN NICHOLAS BAKER (PA-C) registered?
Use Lexington, Kentucky as the headline location for STEPHEN NICHOLAS BAKER (PA-C) here.
When was this NPI issued?
Enumeration for STEPHEN NICHOLAS BAKER (PA-C) is noted as January 17, 2024 where the registry provides it.

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