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JACQUELYNN DANIELLE BAKER PA
NPI 1154445534
Physician Assistant in Saint Louis, MO

Active since March 19, 2007
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100(314) 289-7058 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelynn Danielle Baker Pa NPPES

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

JACQUELYNN DANIELLE BAKER PA (NPI 1154445534) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (114211) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1154445534
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYNN DANIELLE BAKERCredential: PA
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 652-4100 · Fax (143) 289-7058
Phone(314) 652-4100
Fax(314) 289-7058
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1154445534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 114211
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.
915 N GRAND BLVD, Saint Louis, MO 63106
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Other Names 1

Former Name (1)Jacquelynn Danielle Berumen

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

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 Jacquelynn Baker's NPI number?

The NPI number for Jacquelynn Baker is 1154445534. It was assigned to this individual provider in the NPPES registry on March 19, 2007. The provider is also known as Jacquelynn Danielle Berumen.

Where is Jacquelynn Baker located?

Jacquelynn Baker practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Jacquelynn Baker's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacquelynn Baker was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.