KENDA GALE BAKER (PA) – Medical Physician Assistant, NPI 1114957370

KENDA GALE BAKER (PA) is a healthcare provider. based in Stillwater, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 635 (OK). The NPI Number for KENDA GALE BAKER (PA) is 1114957370

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
KENDA GALE BAKER (PA)
NPI
1114957370
Phone
(405) 372-7575
Address
1329 S SANGRE RD
Enumeration Date
4 July 2006
Last Update Date
13 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055333376
Graduation Year
1992 (34 years ago)
PAC ID
8224264064
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20131126001119
Address ID
OK740741854ST1329XRDXX401
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

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for KENDA GALE BAKER (PA)

  • 1329, South Sangre Road, Stillwater, Payne County, Oklahoma, 74074, United States

    STILLWATER, OK 740741854

    Phone: (405) 372-7575

    Fax: (405) 533-1093

    Type: Location

  • Stillwater Post Office, 441, Bennoch Road, Stillwater, Old Town, Penobscot County, Maine, 04468, United States

    STILLWATER, OK 740761537

    Phone: (405) 372-7575

    Fax: (405) 533-1093

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 187 Open Payments records for all available years, with a total value of $3,713.

Total Amount is formed as General ($3,713) + Research ($0) + Ownership ($0) = $3,713.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($507).

Total Amount

$3,713

General + Research + Ownership

Payments

187

Total payment records

General Amount

$3,713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2013-11-26

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
I20131126001119IPhysician AssistantOKTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,344273$0
99213Established patient office or other outpatient visit, 20-29 minutes655479$0
17000Destruction of precancer skin growth, 1 growth457369$0
17110Destruction of skin growth, 1-14 growths360299$0
11102Biopsy of related skin growth, first growth139133$0
View full utilization report →

Insurance plans in this area (ZIP 74074)

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Provider's Procedures

KENDA GALE BAKER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOK11101Biopsy of each additional growth of skin and/or tissue2522
PHYSICIAN ASSISTANTOK17003Destruction of 2-14 skin growths1332223

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: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

How do I look up KENDA GALE BAKER (PA) by NPI?
Use NPI 1114957370 when you need to reference KENDA GALE BAKER (PA) in forms, claims, or directories.
Is KENDA GALE BAKER (PA) active in the national directory?
KENDA GALE BAKER (PA)'s public NPI profile is in an active state.
What kind of provider is KENDA GALE BAKER (PA)?
The page reflects Medical Physician Assistant for KENDA GALE BAKER (PA). Clinical services aligned with this taxonomy classification.
What location shows for KENDA GALE BAKER (PA)?
We surface Stillwater, Oklahoma for KENDA GALE BAKER (PA) based on available NPPES addresses.
How can I contact KENDA GALE BAKER (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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