ALYSSA DOMENICA BAKER (PA-C) – Physician Assistant, NPI 1134588254

ALYSSA DOMENICA BAKER (PA-C) is a healthcare provider. based in Wayne, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA003748 (PA). The NPI Number for ALYSSA DOMENICA BAKER (PA-C) is 1134588254

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA DOMENICA BAKER (PA-C)
NPI
1134588254
Phone
(734) 728-3446
Address
34841 Veterans Plz
Enumeration Date
17 February 2016
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
3132927640
Graduation Year
2015 (11 years ago)
PAC ID
9638468952
Group Practice PAC ID
1254741283
Professional Enrollment ID
I20190611002470
Address ID
MI481841733WA34841PLZX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:10State licenses:3Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for ALYSSA DOMENICA BAKER (PA-C)

  • 34841 Veterans Plz

    Wayne, MI 481841733

    Phone: (734) 728-3446

    Type: Location

  • 21000 E 12 MILE RD

    SAINT CLAIR SHORES, MI 480811116

    Phone: (586) 498-3606

    Type: Location

  • 3320 VINSETTA BLVD

    ROYAL OAK, MI 480733382

    Phone: (313) 655-2391

    Type: Mailing

  • 9315 TELEGRAPH RD

    REDFORD, MI 482391260

    Phone: (313) 450-4500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $939.

Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($265).

Total Amount

$939

General + Research + Ownership

Payments

50

Total payment records

General Amount

$939

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

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: 2019-06-11

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
I20190611002470IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes34278$0
99441Telephone medical discussion with physician, 5-10 minutes3218$0
View full utilization report →

Insurance plans in this area (ZIP 48184)

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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: 1254741283View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerOH
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What federal number belongs to ALYSSA DOMENICA BAKER (PA-C)?
The federal identifier for ALYSSA DOMENICA BAKER (PA-C) is NPI 1134588254.
Is ALYSSA DOMENICA BAKER (PA-C)'s NPI currently valid?
The extract we use shows ALYSSA DOMENICA BAKER (PA-C) as active.
Does ALYSSA DOMENICA BAKER (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ALYSSA DOMENICA BAKER (PA-C). Clinical services aligned with this taxonomy classification.
Does ALYSSA DOMENICA BAKER (PA-C) practice in Michigan?
You will see Wayne, Michigan on file for ALYSSA DOMENICA BAKER (PA-C) alongside any extra practice locations.
What if Wayne, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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