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SHEMICA NICOLE BAKER NP
NPI 1093271496
Nurse Practitioner - Family in Kinston, NC

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
701 DOCTORS DR STE E2, KINSTON, NC 28501(252) 775-5940(252) 208-1177 Get Directions Write a Review

NPPES record last updated: August 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2021, Mar 31, 2021, Feb 11, 2019 (3 updates tracked since 2019).

About Shemica Nicole Baker Np NPPES

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

SHEMICA NICOLE BAKER NP (NPI 1093271496) is an individual family provider in Kinston, North Carolina, licensed in North Carolina (255263) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093271496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEMICA NICOLE BAKERCredential: NP
Location Address701 DOCTORS DR STE E2Kinston, NC 28501-1584
Mailing Address517 Cheltenham DrGreenville, NC 27834-2534 · (252) 468-4606
Phone(252) 775-5940
Fax(252) 208-1177
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 11, 2019
Last NPPES UpdateAugust 21, 20213 updates tracked since enumeration
NPPES CertifiedAugust 21, 2021
✔ NPI 1093271496 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 NC · 255263
701 DOCTORS DR STE E2, Kinston, NC 28501
Open in Google Maps ↗

Other Names 1

Former Name (1)Shemica Nicole Brown

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shemica Nicole Baker Np 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 ID7012258866
PECOS Enrollment IDI20190404002449
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.

Medicare Billing Reassignment

Medicare enrollment records show Shemica Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unc Physicians Network, LLC
46 mi
Family Medicine
403 FAIRVIEW ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1164793576 (910) 592-6011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
153 services119 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.
71 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services16 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
18 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$24.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shemica Baker's NPI number?

The NPI number for Shemica Baker is 1093271496. It was assigned to this individual provider in the NPPES registry on February 11, 2019. The provider is also known as Shemica Nicole Brown.

Where is Shemica Baker located?

Shemica Baker practices at 701 Doctors Dr Ste E2, Kinston, NC 28501. The listed phone number is (252) 775-5940.

What is Shemica Baker's specialty?

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

Is Shemica Baker enrolled in Medicare?

Yes. Shemica 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.

Which organization bills Medicare for Shemica Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shemica Baker reassigns Medicare benefits to Unc Physicians Network, LLC (Clinton, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shemica Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shemica Baker accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Shemica 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.

Is Shemica Baker affiliated with any hospitals?

According to CMS data, Shemica Baker is affiliated with Unc Lenoir Health Care.

When was this NPI record last updated?

The NPPES record for Shemica Baker was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.