MS. OPAL ANNETTE BAKER FNP
NPI 1346904026
Nurse Practitioner - Family in Bronx, NY

Active since October 28, 2021PECOS Enrolled
100/100
CMS Quality Rating
1695 EASTCHESTER RD FL 2, BRONX, NY 10461(718) 405-8505 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Opal Annette Baker Fnp NPPES

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

MS. OPAL ANNETTE BAKER FNP (NPI 1346904026) is an individual family provider in Bronx, New York, licensed in New York (347437) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346904026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. OPAL ANNETTE BAKERCredential: FNP
Location Address1695 EASTCHESTER RD FL 2Bronx, NY 10461-2375
Mailing Address1695 Eastchester Rd Fl 2Bronx, NY 10461-2375 · (718) 405-8505
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2021
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1346904026 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 NY · 347437
1695 EASTCHESTER RD FL 2, Bronx, NY 10461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Opal Annette Baker Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850774316
PECOS Enrollment IDI20220816001265
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

3

Medicare enrollment records show Opal Baker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Urgent Care
3379 CROMPOND RD
Yorktown Heights, NY 10598
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
Urgent Care
900 ROUTE 376, SUITE H
Wappingers Falls, NY 12590
  • Reassigned Medicare billing, New York enrollment
  • 41 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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

Other Providers at the Same Location NPPES

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

Internal Medicine (Medical Oncology)
1695 EASTCHESTER RD FL 2
BRONX, NY 10461

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 Opal Baker's NPI number?

The NPI number for Opal Baker is 1346904026. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Opal Baker located?

Opal Baker practices at 1695 Eastchester Rd Fl 2, Bronx, NY 10461. The listed phone number is (718) 405-8505.

What is Opal Baker's specialty?

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

Is Opal Baker enrolled in Medicare?

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

Which organizations bill Medicare for Opal Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Opal Baker reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Divinity Medical Services PLLC (Yorktown Heights, NY) and Ashraf Medical Group PLLC (Wappingers Falls, NY). 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 Opal Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Opal Baker affiliated with any hospitals?

According to CMS data, Opal Baker is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Opal Baker was last updated on April 12, 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.