KENDYL BAKER - NPI 1104718113 - Physician Assistant in Brandon, FL

Q: What is Kendyl Baker's NPI number?

The NPI number for Kendyl Baker is 1104718113. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Q: What is Kendyl Baker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendyl Baker was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

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About Kendyl Baker NPPES

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

KENDYL BAKER (NPI 1104718113) is an individual physician assistant in Brandon, Florida and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104718113

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKENDYL BAKER

Location Address405 W BLOOMINGDALE AVEBrandon, FL 33511-7401

Mailing Address1305 Anchor Bend DrRuskin, FL 33570-8086 · (727) 482-2298 · Fax (727) 482-2298

Phone(813) 662-3376

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 16, 2025

Last NPPES UpdateSeptember 2, 2025

NPPES CertifiedSeptember 2, 2025

✔ NPI 1104718113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

405 W BLOOMINGDALE AVE, Brandon, FL 33511

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9133610660

PECOS Enrollment IDI20251112003920

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 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MRS. SHANNON RACHELLE CARIE PA-C

Physician Assistant