CAROL LYNN BAKER APRN
NPI 1295093938
Nurse Practitioner - Family in Lexington, KY

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
496 SOUTHLAND DR, LEXINGTON, KY 40503(859) 288-2425(859) 288-7510 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Lynn Baker Aprn NPPES

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

CAROL LYNN BAKER APRN (NPI 1295093938) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3007371) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295093938
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL LYNN BAKERCredential: APRN
Location Address496 SOUTHLAND DRLexington, KY 40503-1827
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2425 · Fax (859) 288-7510
Fax(859) 288-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 1, 2012
Last NPPES UpdateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
NPI 1295093938 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 KY · 3007371
496 SOUTHLAND DR, Lexington, KY 40503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carol Lynn Baker Aprn 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 ID1355505389
PECOS Enrollment IDI20120604000195
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$21.26 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$6.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$112.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Pediatrics)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Social Worker (Clinical)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Clinical Nurse Specialist (Psychiatric/Mental Health)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Social Worker
496 SOUTHLAND DR
LEXINGTON, KY 40503
Nurse Practitioner (Psychiatric/Mental Health)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Psychiatry & Neurology (Psychiatry)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Pharmacist
496 SOUTHLAND DR
LEXINGTON, KY 40503
Dentist (General Practice)
496 SOUTHLAND DR
LEXINGTON, KY 40503

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 Carol Baker's NPI number?

The NPI number for Carol Baker is 1295093938. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Carol Baker located?

Carol Baker practices at 496 Southland Dr, Lexington, KY 40503. The listed phone number is (859) 288-2425.

What is Carol Baker's specialty?

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

Is Carol Baker enrolled in Medicare?

Yes. Carol 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.

What insurance does Carol Baker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Carol 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 Carol Baker was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.