DR. BRECK BAKER PMHNP -BC
NPI 1619411279
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since December 15, 2016PECOS EnrolledAccepts Medicare Assignment
720 N FRANKLIN ST STE 401, CHICAGO, IL 60654(877) 442-0042 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Sep 16, 2019, Jun 14, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Breck Baker Pmhnp -bc NPPES

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

DR. BRECK BAKER PMHNP -BC (NPI 1619411279) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Florida (APRN11001264) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in St Johnsbury, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619411279
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. BRECK BAKERCredential: PMHNP -BC
Location Address720 N FRANKLIN ST STE 401Chicago, IL 60654-7212
Mailing Address302 Linden RdSt Augustine, FL 32086-6742 · (802) 255-8788 · Fax (802) 200-0493
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 15, 2016
Last NPPES UpdateMarch 17, 20264 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1619411279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11001264✔ Licensed in VT · 101.0136156
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN 256580 (MA)
720 N FRANKLIN ST STE 401, Chicago, IL 60654

Secondary Practice Location 1

Location 11097 Main StSt Johnsbury, VT 05819-2646 · Phone (802) 255-8788 · Fax (802) 200-0493

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Breck Baker Pmhnp -bc 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 ID6507135910
PECOS Enrollment IDI20230601001244
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

4

Medicare enrollment records show Breck Baker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 394 clinicians in this Medicare group
Internal Medicine
819 WORCESTER ST, SUITE 3
Springfield, MA 01151
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Ipc Hospitalists Of New England PC
  • 124 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
181 CRAWFORD RD
Newport, VT 05855
  • Reassigned Medicare billing, Vermont enrollment
  • 43 clinicians in this Medicare group
Psychiatric/Mental Health
1097 MAIN ST
Saint Johnsbury, VT 05819
  • Reassigned Medicare billing, Vermont enrollment
  • 3 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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
104 services41 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.
42 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60654 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

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

Psychiatry & Neurology (Psychiatry)
720 N FRANKLIN ST STE 401
CHICAGO, IL 60654
Psychiatry & Neurology (Psychiatry)
720 N FRANKLIN ST STE 401
CHICAGO, IL 60654

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 Breck Baker's NPI number?

The NPI number for Breck Baker is 1619411279. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Where is Breck Baker located?

Breck Baker practices at 720 N Franklin St Ste 401, Chicago, IL 60654. The listed phone number is (877) 442-0042.

What is Breck Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Breck Baker enrolled in Medicare?

Yes. Breck 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.

Which organizations bill Medicare for Breck Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breck Baker reassigns Medicare benefits to 4 organizations: Berkshire Medical Center, Inc (Pittsfield, MA), Ipc Hospitalists Of New England, P.C. (Springfield, MA), Northeast Kingdom Human Services Inc (Newport, VT) and Sage Mental Health Plc (Saint Johnsbury, VT). 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 Breck Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breck Baker accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Harvard Pilgrim Health Care and UnitedHealthcare list Breck 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 Breck Baker was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.