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MADALYNN JOY BAKER
NPI 1255996096
Nurse Practitioner in Modesto, CA

Active since May 07, 2019PECOS Enrolled
3621 FOREST GLENN DR, MODESTO, CA 95355(209) 521-7411(209) 521-2640 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madalynn Joy Baker NPPES

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

MADALYNN JOY BAKER (NPI 1255996096) is an individual nurse practitioner in Modesto, California, licensed in California (95011390) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255996096
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADALYNN JOY BAKER
Location Address3621 FOREST GLENN DRModesto, CA 95355-1339
Mailing Address3621 Forest Glenn DrModesto, CA 95355-1339 · (209) 521-7411 · Fax (209) 521-2640
Phone(209) 521-7411
Fax(209) 521-2640
Sole ProprietorNo
Enumeration DateMay 7, 2019
✔ NPI 1255996096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95011390
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3621 FOREST GLENN DR, Modesto, CA 95355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madalynn Joy Baker 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 Reassignments

2

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

Stanislaus Cardiology Group
0.1 mi
Specialist
3621 FOREST GLENN DR
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1902828841 (209) 521-9661
Permanente Medical Group Inc
29 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95355 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.

Other Providers at the Same Location NPPES 6

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

MS. MIMSIE M FARRAR N.P.
Nurse Practitioner (Family)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-7411
MR. RAJESH KUMAR DUBEY M.D.
Internal Medicine (Cardiovascular Disease)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
MR. KENT HON-WAH WONG MD
Internal Medicine (Cardiovascular Disease)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
DR. JOYDEV ACHARYA MD
Specialist
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
STANISLAUS CARDIOLOGY GROUP
Specialist
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661
MR. HASSAN MOHAMED HUSSAIN MD
Internal Medicine (Cardiovascular Disease)
3621 FOREST GLENN DR
MODESTO, CA 95355
Stanislaus County (209) 521-9661

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 Madalynn Baker's NPI number?

The NPI number for Madalynn Baker is 1255996096. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Madalynn Baker located?

Madalynn Baker practices at 3621 Forest Glenn Dr, Modesto, CA 95355. The listed phone number is (209) 521-7411.

What is Madalynn Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madalynn Baker enrolled in Medicare?

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

Which organizations bill Medicare for Madalynn Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madalynn Baker reassigns Medicare benefits to 2 organizations: Stanislaus Cardiology Group (Modesto, CA) and Permanente Medical Group Inc (Stockton, 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 Madalynn 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 Madalynn Baker was last updated on May 7, 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.