Nicole Lynne Baker, NP-C
Nurse Practitioner, Family in Willard, MO. Individual provider (NPI-1).
NPI number1013550482
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1013550482
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lynne Baker
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2019
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2019039808 | MO | Yes |
Other names
- Nicole Lynne Gallant (Former Name)
Practice location
798 Bent Tree AveWillard, MO 65781-6003
Phone 000-000-0000
Mailing address
798 Bent Tree AveWillard, MO 65781-6003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Willard, MO
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All 5 Family Nurse Practitioner providers in Willard · All 78 providers in Willard
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