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SHELBY MARIE BAKER LMSW
NPI 1154081024
Social Worker - Clinical in Wyoming, MI

Active since December 20, 2021PECOS Enrolled
1861 R W BERENDS DR SW, WYOMING, MI 49519(616) 259-5387(877) 537-6994 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2025, Dec 20, 2021 (2 updates tracked since 2021).

About Shelby Marie Baker Lmsw NPPES

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

SHELBY MARIE BAKER LMSW (NPI 1154081024) is an individual clinical provider in Wyoming, Michigan, licensed in Michigan (6801117690) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154081024
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY MARIE BAKERCredential: LMSW
Location Address1861 R W BERENDS DR SWWyoming, MI 49519-4955
Mailing Address1861 R W Berends Dr SwWyoming, MI 49519-4955 · (616) 259-5387 · Fax (877) 537-6994
Phone(616) 259-5387
Fax(877) 537-6994
Sole ProprietorYes
Enumeration DateDecember 20, 2021
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1154081024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801117690
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1861 R W BERENDS DR SW, Wyoming, MI 49519
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Other Names 1

Former Name (1)Shelby Marie Waldhart

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Marie Baker Lmsw 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.

Medicare Billing Reassignment

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

West Michigan Eating Disorder Specialists
3.3 mi
Social Worker
1861 RW BERENDS DR SW
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1477292480 (616) 320-5111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Shelby Baker's NPI number?

The NPI number for Shelby Baker is 1154081024. It was assigned to this individual provider in the NPPES registry on December 20, 2021. The provider is also known as Shelby Marie Waldhart.

Where is Shelby Baker located?

Shelby Baker practices at 1861 R W Berends Dr SW, Wyoming, MI 49519. The listed phone number is (616) 259-5387.

What is Shelby Baker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelby Baker enrolled in Medicare?

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

Which organization bills Medicare for Shelby Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Baker reassigns Medicare benefits to West Michigan Eating Disorder Specialists (Wyoming, MI). 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 Shelby Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Baker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Shelby 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 Shelby Baker was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.