COLLEEN DIANE BAKER (M.D.) – Internal Medicine Physician, NPI 1083811400

COLLEEN DIANE BAKER (M.D.) is a healthcare provider. based in Roca, Nebraska. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 179-320 (WI). The NPI Number for COLLEEN DIANE BAKER (M.D.) is 1083811400

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN DIANE BAKER (M.D.)
NPI
1083811400
Phone
Not provided
Address
14011 BRUSH CREEK PL
Enumeration Date
29 June 2007
Last Update Date
30 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024751011
Graduation Year
2007 (19 years ago)
PAC ID
3274666003
Group Practice PAC ID
2365334364
Professional Enrollment ID
I20100730000756
Address ID
NE685023704LI2300XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:18State licenses:15Digital endpointsOther names

304 HOSPITALIST in NE

Provider Addresses for COLLEEN DIANE BAKER (M.D.)

  • 14011 BRUSH CREEK PL

    ROCA, NE 684304403

    Phone:

    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: 2010-07-30

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
I20100730000756IHospitalistNETBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 68430)

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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: 2365334364View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Nurse PractitionerNE
Physician AssistantNE
H O S P I T A L I S TNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
-NE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What is the standard ID for COLLEEN DIANE BAKER (M.D.) in the U.S.?
In the U.S., COLLEEN DIANE BAKER (M.D.) is identified by NPI 1083811400.
Is COLLEEN DIANE BAKER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists COLLEEN DIANE BAKER (M.D.) as active.
Which specialty label fits COLLEEN DIANE BAKER (M.D.)?
NPPES ties COLLEEN DIANE BAKER (M.D.) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to COLLEEN DIANE BAKER (M.D.)?
The directory associates COLLEEN DIANE BAKER (M.D.) with Roca, Nebraska. Check all listed addresses for suites or satellite offices.
Who maintains COLLEEN DIANE BAKER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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