MONICA L BAKER
NPI 1326684531
Nurse Practitioner - Family in Crestview, FL

Active since November 22, 2019PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
302 E JAMES LEE BLVD, CRESTVIEW, FL 32539(850) 897-8550 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Jun 6, 2021, Nov 22, 2019 (3 updates tracked since 2019).

About Monica L Baker NPPES

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

MONICA L BAKER (NPI 1326684531) is an individual family provider in Crestview, Florida, licensed in Florida (11010253) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1326684531
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA L BAKER
Location Address302 E JAMES LEE BLVDCrestview, FL 32539-2827
Mailing Address4562 E Highway 20Niceville, FL 32578-8831 · (850) 897-8550
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 22, 2019
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1326684531 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 FL · 11010253
302 E JAMES LEE BLVD, Crestview, FL 32539

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

Monica L 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 ID6507294717
PECOS Enrollment IDI20210804003994
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32539 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Pharmacy
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Pharmacist
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Nurse Practitioner (Adult Health)
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Nurse Practitioner (Family)
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Pharmacist
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Nurse Practitioner (Family)
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539
Nurse Practitioner
302 E JAMES LEE BLVD
CRESTVIEW, FL 32539

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 Monica Baker's NPI number?

The NPI number for Monica Baker is 1326684531. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Monica Baker located?

Monica Baker practices at 302 E James Lee Blvd, Crestview, FL 32539. The listed phone number is (850) 897-8550.

What is Monica Baker's specialty?

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

Is Monica Baker enrolled in Medicare?

Yes. Monica 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.

When was this NPI record last updated?

The NPPES record for Monica Baker was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.