EBONY BAKER - NPI 1417831967 - Nurse Practitioner in New York, NY

Q: What is Ebony Baker's NPI number?

The NPI number for Ebony Baker is 1417831967. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Q: What is Ebony Baker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebony Baker was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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About Ebony Baker NPPES

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

EBONY BAKER (NPI 1417831967) is an individual family provider in New York, New York, licensed in New York (357951) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417831967

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEBONY BAKER

Location Address220 E 42ND ST FL 7New York, NY 10017-5835

Mailing Address36 Hilton Ave Apt 306Hempstead, NY 11550-2116 · (347) 593-0851

Phone(917) 608-0712

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 5, 2025

Last NPPES UpdateNovember 16, 20253 updates tracked since enumeration

NPPES CertifiedNovember 16, 2025

✔ NPI 1417831967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 357951

Also ListedRegistered NurseTaxonomy 163W00000X · License 765143 (NY)

220 E 42ND ST FL 7, New York, NY 10017

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Baker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436630894

PECOS Enrollment IDI20260610001867

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 7

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

ALLEN HSU DO

Student in an Organized Health Care Education/Training Program