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MRS. ROBETTA MELAINE BAKER APRN
NPI 1043590227
Nurse Practitioner - Family in Hazard, KY

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
46.84/100
CMS Quality Rating
311 ROY CAMPBELL DR, HAZARD, KY 41701(606) 487-0776(606) 487-0777 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Robetta Melaine Baker Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ROBETTA MELAINE BAKER APRN (NPI 1043590227) is an individual family provider in Hazard, Kentucky, licensed in Kentucky (3007087) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043590227
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ROBETTA MELAINE BAKERCredential: APRN
Location Address311 ROY CAMPBELL DRHazard, KY 41701-9486
Mailing Address311 Roy Campbell DrHazard, KY 41701-9486 · (606) 487-0776 · Fax (606) 487-0777
Phone(606) 487-0776
Fax(606) 487-0777
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 19, 2011
Last NPPES UpdateMarch 19, 2014
✔ NPI 1043590227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007087
311 ROY CAMPBELL DR, Hazard, KY 41701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Robetta Melaine Baker Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941471676
PECOS Enrollment IDI20110928000889
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
967 services161 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
572 services136 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
385 services111 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
224 services111 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
47 services44 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.33
Improvement Activities0
Cost81.71

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS E. KARELIS JR. MD
Internal Medicine
311 ROY CAMPBELL DR
HAZARD, KY 41701
Perry County (606) 487-0776
MRS. ELIZABETH SUZANNE CRANK MSN, APRN, RD, LD
Nurse Practitioner
311 ROY CAMPBELL DR
HAZARD, KY 41701
Perry County (606) 487-0776
JEFFREY FUGATE APRN
Nurse Practitioner (Family)
311 ROY CAMPBELL DR, SUITE 100
HAZARD, KY 41701
Perry County (606) 487-7383
KENTUCKY PRIMARY MEDICAL SERVICES LLC
Clinic/Center (Primary Care)
311 ROY CAMPBELL DR
HAZARD, KY 41701
Perry County (606) 487-0776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robetta Baker's NPI number?

The NPI number for Robetta Baker is 1043590227. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Robetta Baker located?

Robetta Baker practices at 311 Roy Campbell Dr, Hazard, KY 41701. The listed phone number is (606) 487-0776.

What is Robetta Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Robetta Baker enrolled in Medicare?

Yes. Robetta Baker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robetta Baker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Robetta Baker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robetta Baker was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.