DANA BAKER FNP
NPI 1205354453
Nurse Practitioner - Family in Bridgeville, DE

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment
18119 SUSSEX HWY UNIT 1, BRIDGEVILLE, DE 19933(302) 956-6986(302) 956-6406 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dana Baker Fnp NPPES

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

DANA BAKER FNP (NPI 1205354453) is an individual family provider in Bridgeville, Delaware, licensed in Delaware (LG-0001066) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205354453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANA BAKERCredential: FNP
Location Address18119 SUSSEX HWY UNIT 1Bridgeville, DE 19933-4095
Mailing Address18119 Sussex Hwy Unit 1Bridgeville, DE 19933-4095 · (302) 956-6986 · Fax (302) 956-6406
Fax(302) 956-6406
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 7, 2017
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1205354453 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 DE · LG-0001066
18119 SUSSEX HWY UNIT 1, Bridgeville, DE 19933

Accepted 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

Dana Baker Fnp 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 ID4284900499
PECOS Enrollment IDI20171016002109
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 Reassignments

4

Medicare enrollment records show Dana Baker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
18119 SUSSEX HWY UNIT 1
Bridgeville, DE 19933
  • Reassigned Medicare billing, Delaware enrollment
  • 2 clinicians in this Medicare group
Family Medicine
801 MIDDLEFORD RD
Seaford, DE 19973
  • Reassigned Medicare billing, Delaware enrollment
  • 179 clinicians in this Medicare group
Internal Medicine
20930 DUPONT BLVD UNIT 202
Georgetown, DE 19947
  • Reassigned Medicare billing, Delaware enrollment
  • 42 clinicians in this Medicare group
Geriatric Medicine
420 DEAN DR
Gardendale, AL 35071
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 clinicians in this Medicare group

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 19933 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Clinic/Center (Health Service)
18119 SUSSEX HWY UNIT 1
BRIDGEVILLE, DE 19933
Nurse Practitioner (Family)
18119 SUSSEX HWY UNIT 1
BRIDGEVILLE, DE 19933
Nurse Practitioner (Family)
18119 SUSSEX HWY UNIT 1
BRIDGEVILLE, DE 19933

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 Dana Baker's NPI number?

The NPI number for Dana Baker is 1205354453. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Dana Baker located?

Dana Baker practices at 18119 Sussex Hwy Unit 1, Bridgeville, DE 19933. The listed phone number is (302) 956-6986.

What is Dana Baker's specialty?

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

Is Dana Baker enrolled in Medicare?

Yes. Dana 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 organizations bill Medicare for Dana Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Baker reassigns Medicare benefits to 4 organizations: Harrison Family Practice Inc (Bridgeville, DE), Tidalhealth Physician Network, Inc. (Seaford, DE), Nutrihealth LLC (Georgetown, DE) and Alignmed Partners, PC (Gardendale, AL). Each 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 Dana Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dana Baker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Dana 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 Dana Baker was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.