COLLEEN DIANE BAKER M.D.
NPI 1083811400
Internal Medicine in Roca, NE

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
14011 BRUSH CREEK PL, ROCA, NE 68430(402) 354-4000 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen Diane Baker M.d. NPPES

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

COLLEEN DIANE BAKER M.D. (NPI 1083811400) is an individual internal medicine provider in Roca, Nebraska, licensed in Nebraska (25564) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2007).

NPPES Registry Identity

NPI1083811400
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCOLLEEN DIANE BAKERCredential: M.D.
Location Address14011 BRUSH CREEK PLRoca, NE 68430-4403
Mailing Address14011 Brush Creek PlRoca, NE 68430-4403
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2007
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 30, 2019
NPI 1083811400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NE · 25564 Licensed in MI · 4301115893 Licensed in ME · MD22452 Licensed in TN · 59150 Licensed in IA · MD-45438 Licensed in CO · CDR.0000156 Licensed in SD · 11003 Licensed in KS · 04-41692 Licensed in MN · 64041 Licensed in NY · 295094 Licensed in ND · 15546 Licensed in KY · 51797 Licensed in MO · 2018029425 Licensed in IN · 01080835A Licensed in WI · 179-320
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14011 BRUSH CREEK PL, Roca, NE 68430

Other Names 1

Former Name (1)Colleen Diane Whalen

Accepted 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

Colleen Diane Baker M.d. 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 ID3274666003
PECOS Enrollment IDI20100730000756
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 68430 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.97
Promoting Interoperability100
Improvement Activities40
Cost49.55

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%217 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.

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 Colleen Baker's NPI number?

The NPI number for Colleen Baker is 1083811400. It was assigned to this individual provider in the NPPES registry on June 29, 2007. The provider is also known as Colleen Diane Whalen.

Where is Colleen Baker located?

Colleen Baker practices at 14011 Brush Creek Pl, Roca, NE 68430. The listed phone number is (402) 354-4000.

What is Colleen Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Colleen Baker enrolled in Medicare?

Yes. Colleen 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 Colleen Baker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Colleen 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 Colleen Baker was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.