MRS. KELLI J BAKER (CNP) – Nurse Practitioner, NPI 1255880779

MRS. KELLI J BAKER (CNP) is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. F0916599 (OH). The NPI Number for MRS. KELLI J BAKER (CNP) is 1255880779

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLI J BAKER (CNP)
NPI
1255880779
Phone
(330) 493-0013
Address
4565 DRESSLER RD NW
Enumeration Date
26 September 2016
Last Update Date
26 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306277055
Graduation Year
2016 (10 years ago)
PAC ID
3476831967
Group Practice PAC ID
7911890546
Professional Enrollment ID
I20161104000037
Address ID
OH446158521CA211XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. KELLI J BAKER (CNP)

  • 4565 DRESSLER RD NW

    SUITE #111

    CANTON, OH 447182549

    Phone: (330) 493-0013

    Fax: (330) 493-6973

    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 58 Open Payments records for all available years, with a total value of $1,069.

Total Amount is formed as General ($1,069) + Research ($0) + Ownership ($0) = $1,069.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Lilly USA, LLC ($176).

Total Amount

$1,069

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,069

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2016-11-04

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
I20161104000037INurse PractitionerOHTBD

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 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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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: 7911890546View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

What is MRS. KELLI J BAKER (CNP)'s NPI number?
MRS. KELLI J BAKER (CNP)'s NPI is 1255880779 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MRS. KELLI J BAKER (CNP)?
For scheduling context, MRS. KELLI J BAKER (CNP) is shown as active in the registry.
What clinical focus is listed for MRS. KELLI J BAKER (CNP)?
At a glance, MRS. KELLI J BAKER (CNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KELLI J BAKER (CNP) located near Canton?
MRS. KELLI J BAKER (CNP) currently maps to Canton, Ohio in this extract.
When was this NPI issued?
Enumeration for MRS. KELLI J BAKER (CNP) is noted as September 26, 2016 where the registry provides it.

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