DR. BRECK BAKER (PMHNP -BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619411279
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
721 NURSE PRACTITIONER in VT
Provider Addresses for DR. BRECK BAKER (PMHNP -BC)
1097 Main St
St Johnsbury, VT 058192646
Phone: (802) 255-8788
Fax: (802) 200-0493
Type: Location
200 SAN SEBASTIAN VW STE 2102
ST AUGUSTINE, FL 320848695
Phone: (800) 539-4228
Fax: (904) 209-6288
Type: Mailing
302 LINDEN RD
ST AUGUSTINE, FL 320866742
Phone: (802) 255-8788
Fax: (802) 200-0493
Type: Mailing
720 N FRANKLIN ST STE 401
CHICAGO, IL 606547212
Phone: (877) 442-0042
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: Indivior Inc. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $29 |
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: 2023-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170628001333 | I | Nurse Practitioner | MA | TBD |
| I20230601001244 | I | Nurse Practitioner | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 150 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 05819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT |
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