CAROLYN D BAKER (NP) – Family Nurse Practitioner, NPI 1922042829

CAROLYN D BAKER (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704151642 (MI). The NPI Number for CAROLYN D BAKER (NP) is 1922042829

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN D BAKER (NP)
NPI
1922042829
Phone
Not provided
Address
100 MICHIGAN STREET NE, MC845
Enumeration Date
15 June 2006
Last Update Date
5 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175431050
Graduation Year
1997 (29 years ago)
PAC ID
1153327804
Group Practice PAC ID
8022414010
Professional Enrollment ID
I20061020000050
Address ID
MI488131629CH321XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for CAROLYN D BAKER (NP)

  • 100 MICHIGAN STREET NE, MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Spectrum Health Pennock, 1009, West Green Street, Hastings, Barry County, Michigan, 49058, United States

    HASTINGS, MI 490581710

    Phone: (616) 391-3139

    Fax: (616) 391-3044

    Type: Location

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: 2006-10-20

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
I20061020000050INurse PractitionerMITBD

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
99285Emergency department visit with high level of medical decision making107103$0
99284Emergency department visit with moderate level of medical decision making5955$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 8022414010View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency Medicine, Internal MedicineMI
Emergency MedicineOH
Emergency MedicineMN
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to CAROLYN D BAKER (NP)?
NPI 1922042829 is assigned to CAROLYN D BAKER (NP) under the national enumeration system.
Does this profile mean CAROLYN D BAKER (NP) is currently active?
Yes — CAROLYN D BAKER (NP) appears active in the national provider directory.
Can you summarize CAROLYN D BAKER (NP)'s specialty in plain language?
Clinically, the directory lists CAROLYN D BAKER (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CAROLYN D BAKER (NP)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for CAROLYN D BAKER (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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