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MRS. KAREN M BAKER NP
NPI 1154305266
Nurse Practitioner - Family in Perry, NY

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
3 HANDLEY ST STE 2, PERRY, NY 14530(585) 237-3227(585) 237-6075 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2023, Jan 29, 2020 (2 updates tracked since 2020).

About Mrs. Karen M Baker Np NPPES

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

MRS. KAREN M BAKER NP (NPI 1154305266) is an individual family provider in Perry, New York, licensed in New York (F3337051) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Nicholas H Noyes Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1154305266
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN M BAKERCredential: NP
Location Address3 HANDLEY ST STE 2Perry, NY 14530-1342
Mailing Address3 Handley St Ste 2Perry, NY 14530-1342 · (585) 237-3227 · Fax (585) 237-6075
Phone(585) 237-3227
Fax(585) 237-6075
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 1, 2005
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2020
✔ NPI 1154305266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F3337051✔ Licensed in NY · 333705
Also ListedRegistered NurseTaxonomy 163W00000X · License 475525 (NY)
3 HANDLEY ST STE 2, Perry, NY 14530
Open in Google Maps ↗

Other Identifiers 1

Medicaid02427287NY

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

Mrs. Karen M 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 ID9032015599
PECOS Enrollment IDI20031208000542
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.

Areas of Expertise CMS Part B claims 8

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 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.
107 services62 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14530 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.59
Promoting Interoperability100
Improvement Activities40
Cost50.22

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…
96%51 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%54 patients4/55-star benchmark: 100%
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%72 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims32 services$5.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MEGAN TAGGART MD
Family Medicine
3 HANDLEY ST STE 2
PERRY, NY 14530
Wyoming County (585) 237-3227
MS. LINZIE MARIE FRANCE NP
Nurse Practitioner (Family)
3 HANDLEY ST STE 2
PERRY, NY 14530
Wyoming County (585) 237-3227
ALY AMINMOHAMED HADWANI MD
Family Medicine
3 HANDLEY ST STE 2
PERRY, NY 14530
Wyoming County (585) 237-3227

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 Karen Baker's NPI number?

The NPI number for Karen Baker is 1154305266. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Karen Baker located?

Karen Baker practices at 3 Handley St Ste 2, Perry, NY 14530. The listed phone number is (585) 237-3227.

What is Karen Baker's specialty?

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

Is Karen Baker enrolled in Medicare?

Yes. Karen 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.

Is Karen Baker affiliated with any hospitals?

According to CMS data, Karen Baker is affiliated with Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Baker was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.