SUSAN ARLENE BAKER ARNP
NPI 1467458935
Nurse Practitioner in Marathon, FL

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
5701 OVERSEAS HWY STE 17, MARATHON, FL 33050(305) 434-1400(305) 743-0962 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2022, Jan 30, 2022, May 12, 2016 (3 updates tracked since 2016).

About Susan Arlene Baker Arnp NPPES

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

SUSAN ARLENE BAKER ARNP (NPI 1467458935) is an individual nurse practitioner in Marathon, Florida, licensed in Florida (ARPN9390424) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Fishermen's Community Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1467458935
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN ARLENE BAKERCredential: ARNP
Location Address5701 OVERSEAS HWY STE 17Marathon, FL 33050-2784
Mailing AddressPo Box 100707Atlanta, GA 30384-0707 · (305) 434-1400
Fax(305) 743-0962
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
NPI 1467458935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · ARPN9390424
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9390424 (FL)
5701 OVERSEAS HWY STE 17, Marathon, FL 33050

Other Identifiers 2

Medicaid200937280IN
Other62610002IN · Ptan

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

Susan Arlene Baker Arnp 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 ID1951468958
PECOS Enrollment IDI20150311000497
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 9

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.
424 services298 patients
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.
149 services127 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
55 services49 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.
52 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101312
Location3301 Overseas HwyMarathon, FL 33050 · Monroe County
Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33050 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine
5701 OVERSEAS HWY STE 17
MARATHON, FL 33050
Nurse Practitioner (Family)
5701 OVERSEAS HWY STE 17
MARATHON, FL 33050
Nurse Practitioner (Family)
5701 OVERSEAS HWY STE 17
MARATHON, FL 33050
Internal Medicine
5701 OVERSEAS HWY STE 17
MARATHON, FL 33050
Family Medicine
5701 OVERSEAS HWY STE 17
MARATHON, FL 33050

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 Susan Baker's NPI number?

The NPI number for Susan Baker is 1467458935. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Susan Baker located?

Susan Baker practices at 5701 Overseas Hwy Ste 17, Marathon, FL 33050. The listed phone number is (305) 434-1400.

What is Susan Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Baker enrolled in Medicare?

Yes. Susan 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 Susan Baker accept?

Health plans from Oscar Health Maintenance Organization of Florida list Susan 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.

Is Susan Baker affiliated with any hospitals?

According to CMS data, Susan Baker is affiliated with Fishermen's Community Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Susan Baker was last updated on July 18, 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.