LISA ANNE BAKER
NPI 1205489903
Nurse Practitioner - Family in Atwater, CA

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
3064 CLARET CIR, ATWATER, CA 95301(559) 676-5911 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Anne Baker NPPES

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

LISA ANNE BAKER (NPI 1205489903) is an individual family provider in Atwater, California, licensed in California (95012202) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205489903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA ANNE BAKER
Location Address3064 CLARET CIRAtwater, CA 95301-2214
Mailing Address3064 Claret CirAtwater, CA 95301-2214
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 22, 2019
✔ NPI 1205489903 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 CA · 95012202
3064 CLARET CIR, Atwater, CA 95301

Other Identifiers 2

Other95012202CA · Nurse Practitioner
Other95012202CA · Medi-cal

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

Lisa Anne Baker 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 ID9234515099
PECOS Enrollment IDI20220930001754
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

2

Medicare enrollment records show Lisa Baker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
554 5TH ST
Gustine, CA 95322
  • Reassigned Medicare billing, California enrollment
  • 179 clinicians in this Medicare group
Rural
5189 HOSPITAL RD
Mariposa, CA 95338
  • Reassigned Medicare billing, California enrollment
  • 20 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 95301 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Lisa Baker's NPI number?

The NPI number for Lisa Baker is 1205489903. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Lisa Baker located?

Lisa Baker practices at 3064 Claret Cir, Atwater, CA 95301. The listed phone number is (559) 676-5911.

What is Lisa Baker's specialty?

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

Is Lisa Baker enrolled in Medicare?

Yes. Lisa 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 Lisa Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Baker reassigns Medicare benefits to 2 organizations: Community Health Centers Of America (Gustine, CA) and John C Fremont Healthcare District (Mariposa, CA). 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 Lisa Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Baker was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.