MS. SALLY SUE BAKER (P.A.) – Medical Physician Assistant, NPI 1275771610

MS. SALLY SUE BAKER (P.A.) is a healthcare provider. based in Astoria, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 01141 (OR). The NPI Number for MS. SALLY SUE BAKER (P.A.) is 1275771610

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. SALLY SUE BAKER (P.A.)
NPI
1275771610
Phone
(503) 325-0333
Address
2120 EXCHANGE ST
Enumeration Date
22 January 2009
Last Update Date
22 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033250333
Graduation Year
2005 (21 years ago)
PAC ID
8022173616
Group Practice PAC ID
5799847232
Professional Enrollment ID
I20090213000505
Address ID
OR971033366AS2120XSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for MS. SALLY SUE BAKER (P.A.)

  • Urgent Care Northwest, 2120, Exchange Street, Uppertown, Astoria, Clatsop County, Oregon, 97103, United States

    111

    ASTORIA, OR 971033365

    Phone: (503) 325-0333

    Fax: (503) 325-6333

    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 23 Open Payments records for all available years, with a total value of $381.

Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Corium, LLC ($140).

Total Amount

$381

General + Research + Ownership

Payments

23

Total payment records

General Amount

$381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2009-02-13

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
I20090213000505IPhysician AssistantORTBD

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
81002Urinalysis, manual test1817$0
View full utilization report →

Insurance plans in this area (ZIP 97103)

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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: 5799847232View full group profile
NameSpecialtyState
Nurse PractitionerSC
Physician AssistantFL
-OR
General PracticeOR
Physician AssistantID
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. SALLY SUE BAKER (P.A.)?
MS. SALLY SUE BAKER (P.A.) — NPI 1275771610 — is the standard way to identify this listing.
Is MS. SALLY SUE BAKER (P.A.) listed as active for patients and plans?
The listing shows MS. SALLY SUE BAKER (P.A.) as active in the NPI system.
What is MS. SALLY SUE BAKER (P.A.)'s specialty?
The listing groups MS. SALLY SUE BAKER (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MS. SALLY SUE BAKER (P.A.) based?
MS. SALLY SUE BAKER (P.A.) is tied to Astoria, Oregon in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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