MARY J. BAKER FNP
NPI 1053650960
Nurse Practitioner - Family in Shady Cove, OR

Active since February 13, 2013PECOS Enrolled
21990 HIGHWAY 62, SHADY COVE, OR 97539(541) 878-2022(541) 878-1498 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2020, Dec 23, 2015 (2 updates tracked since 2015).

About Mary J. Baker Fnp NPPES

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

MARY J. BAKER FNP (NPI 1053650960) is an individual family provider in Shady Cove, Oregon, licensed in Oregon (201350028NP) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053650960
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY J. BAKERCredential: FNP
Location Address21990 HIGHWAY 62Shady Cove, OR 97539-9717
Mailing AddressPo Box 428Shady Cove, OR 97539-0428 · (541) 878-2022 · Fax (541) 878-1498
Fax(541) 878-1498
Sole ProprietorNo
Enumeration DateFebruary 13, 2013
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
NPI 1053650960 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 OR · 201350028NP
21990 HIGHWAY 62, Shady Cove, OR 97539

Other Identifiers 1

Medicaid500655794OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary J. Baker Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97539 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%97 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
21990 HIGHWAY 62
SHADY COVE, OR 97539

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 Mary Baker's NPI number?

The NPI number for Mary Baker is 1053650960. It was assigned to this individual provider in the NPPES registry on February 13, 2013.

Where is Mary Baker located?

Mary Baker practices at 21990 Highway 62, Shady Cove, OR 97539. The listed phone number is (541) 878-2022.

What is Mary Baker's specialty?

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

Is Mary Baker enrolled in Medicare?

Yes. Mary Baker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Baker was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.