MARY SUZANNE BAKER
NPI 1275269037
Psychologist - Clinical in Tyler, TX
About Mary Suzanne Baker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY SUZANNE BAKER (NPI 1275269037) is an individual clinical provider in Tyler, Texas, licensed in Texas (39098) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Suzanne Baker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75708
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
- 299 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 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75701
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 Mary Baker's NPI number?
The NPI number for Mary Baker is 1275269037. It was assigned to this individual provider in the NPPES registry on July 25, 2022.
Where is Mary Baker located?
Mary Baker practices at 1100 E Lake St, Tyler, TX 75701. The listed phone number is (817) 734-4920.
What is Mary Baker's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mary Baker enrolled in Medicare?
Yes. Mary Baker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Baker reassigns Medicare benefits to University Of Texas Health Science Center At Tyler (Tyler, TX). The 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 Mary Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Baker accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Mary 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 Mary Baker was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Suzanne Baker · NPI 1275269037
Clinical provider in Tyler, Texas. Individual provider, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1275269037 (Entity type: Individual)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 39098 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 E LAKE ST, Tyler, TX 75701-3343
- **Phone:** (817) 734-4920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** University Of Texas Health Science Center At Tyler (NPI 1992868186, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1275269037) · Data from the CMS NPPES public registry.