HALLIE BAKER (RN) – Family Nurse Practitioner, NPI 1154138808

HALLIE BAKER (RN) is a healthcare provider. based in Jefferson, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 10028484 (OR). The NPI Number for HALLIE BAKER (RN) is 1154138808

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
HALLIE BAKER (RN)
NPI
1154138808
Phone
(503) 508-8526
Address
304 JEFFERSON SCIO DR
Enumeration Date
16 December 2024
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2025 (1 year ago)
PAC ID
6800381732
Group Practice PAC ID
6800128067
Professional Enrollment ID
I20251218002028
Address ID
OR972021720PO3822XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for HALLIE BAKER (RN)

  • 304 JEFFERSON SCIO DR

    JEFFERSON, OR 973529438

    Phone: (503) 508-8526

    Type: Location

  • 3822 SE Powell Blvd

    Portland, OR 972021720

    Phone: (888) 227-3312

    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: 2025-12-18

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
I20251218002028INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97352)

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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: 6800128067View full group profile

Reviews

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Frequently asked questions

What NPI should I save for HALLIE BAKER (RN)?
Save NPI 1154138808 if you need a stable reference for HALLIE BAKER (RN).
Is HALLIE BAKER (RN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is HALLIE BAKER (RN)?
The page reflects Family Nurse Practitioner for HALLIE BAKER (RN). Clinical services aligned with this taxonomy classification.
Where does public data place HALLIE BAKER (RN)?
The snapshot lists Jefferson, Oregon for HALLIE BAKER (RN); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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