SHANNON NICOLE BAKER (FNP-BC) – Family Nurse Practitioner, NPI 1104412535

SHANNON NICOLE BAKER (FNP-BC) is a healthcare provider. based in Holyoke, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN2298153 (MA). The NPI Number for SHANNON NICOLE BAKER (FNP-BC) is 1104412535

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON NICOLE BAKER (FNP-BC)
NPI
1104412535
Phone
(413) 534-2516
Address
575 Beech St
Enumeration Date
20 December 2020
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
4133258500109
Graduation Year
2021 (5 years ago)
PAC ID
9830581420
Group Practice PAC ID
5597674770
Professional Enrollment ID
I20220111000971
Address ID
MA013013275GR102XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for SHANNON NICOLE BAKER (FNP-BC)

  • 575 Beech St

    Holyoke, MA 010402223

    Phone: (413) 534-2516

    Type: Location

  • 97 LOCUST ST

    NORTHAMPTON, MA 010602054

    Phone:

    Type: Mailing

  • 102 MAIN ST

    GREENFIELD, MA 013013275

    Phone: (413) 325-8500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($54).

Total Amount

$89

General + Research + Ownership

Payments

3

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2022-01-11

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
I20220111000971INurse PractitionerMATBD

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 01040)

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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: 5597674770View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerVT
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA
-MA
Nurse PractitionerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I use this page to confirm SHANNON NICOLE BAKER (FNP-BC)'s NPI?
Yes. SHANNON NICOLE BAKER (FNP-BC) is listed with NPI 1104412535 in the public NPI dataset.
Does the file indicate SHANNON NICOLE BAKER (FNP-BC) is practicing under active NPI?
Directory data currently reports SHANNON NICOLE BAKER (FNP-BC) as active.
What is SHANNON NICOLE BAKER (FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for SHANNON NICOLE BAKER (FNP-BC) here. Clinical services aligned with this taxonomy classification.
Does SHANNON NICOLE BAKER (FNP-BC) list a practice location?
Patients near Holyoke, Massachusetts may find SHANNON NICOLE BAKER (FNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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