MARY KATHLEEN BAKER (P.A.) – Medical Physician Assistant, NPI 1124096631

MARY KATHLEEN BAKER (P.A.) is a healthcare provider. based in Fort collins, Colorado. specializing in Medical Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 943 (CO). The NPI Number for MARY KATHLEEN BAKER (P.A.) is 1124096631

Main info

Female
Name
MARY KATHLEEN BAKER (P.A.)
NPI
1124096631
Phone
(970) 416-6286
Address
1200 E ELIZABETH ST
Enumeration Date
9 March 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARY KATHLEEN BAKER (P.A.)

  • The Youth Clinic (East Elizabeth Office), 1200, East Elizabeth Street, Fort Collins, Larimer County, Colorado, 80524, United States

    FORT COLLINS, CO 805244007

    Phone: (970) 416-6286

    Fax: (970) 482-2635

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$17
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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 80524)

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Reviews

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Frequently asked questions

How do payers reference MARY KATHLEEN BAKER (P.A.)?
For MARY KATHLEEN BAKER (P.A.), use NPI 1124096631 as the unique 10-digit identifier.
Active or inactive — what applies to MARY KATHLEEN BAKER (P.A.)?
You should see MARY KATHLEEN BAKER (P.A.) as active in CMS-hosted NPPES data.
What kind of doctor is MARY KATHLEEN BAKER (P.A.)?
MARY KATHLEEN BAKER (P.A.) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MARY KATHLEEN BAKER (P.A.) associated with Fort Collins?
Public fields place MARY KATHLEEN BAKER (P.A.) around Fort Collins, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MARY KATHLEEN BAKER (P.A.) is noted as March 9, 2006 where the registry provides it.

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