DAMON LAMAR BAKER APRN
NPI 1629684170
Nurse Practitioner - Family in Jacksonville, Fl, FL

Active since September 21, 2020PECOS Enrolled
12533 SAMPSON RD, JACKSONVILLE, FL, FL 32218(904) 631-5019 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Damon Lamar Baker Aprn NPPES

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

DAMON LAMAR BAKER APRN (NPI 1629684170) is an individual family provider in Jacksonville, Fl, Florida, licensed in Florida (11007328) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629684170
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAMON LAMAR BAKERCredential: APRN
Location Address12533 SAMPSON RDJacksonville, Fl, FL 32218
Mailing Address12533 Sampson RdJacksonville, Fl, FL 32218 · (904) 631-5019
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1629684170 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 · 11007328
12533 SAMPSON RD, Jacksonville, Fl, FL 32218

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6901212109
PECOS Enrollment IDI20210315000493
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

5

Medicare enrollment records show Damon Baker reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
Hospice and Palliative Medicine
8130 BAYMEADOWS WAY W STE 201
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
Hospice and Palliative Medicine
2000 CLIFFMINE RD STE 500
Pittsburgh, PA 15275
  • Reassigned Medicare billing, Florida enrollment
  • 65 clinicians in this Medicare group
Nurse Practitioner
333 N SUMMIT ST, 7TH FLOOR
Toledo, OH 43604
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
Surgery
2309 W VICTORY BLVD
Burbank, CA 91506
  • Reassigned Medicare billing, Florida enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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.

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 Damon Baker's NPI number?

The NPI number for Damon Baker is 1629684170. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Damon Baker located?

Damon Baker practices at 12533 Sampson Rd, Jacksonville, Fl, FL 32218. The listed phone number is (904) 631-5019.

What is Damon Baker's specialty?

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

Is Damon Baker enrolled in Medicare?

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

Which organizations bill Medicare for Damon Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damon Baker reassigns Medicare benefits to 5 organizations: Hni Medical Services Of Florida, LLC (Jacksonville, FL), Illumia Health LLC (Jacksonville, FL), Pcma Palliative Division LLC (Pittsburgh, PA), Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH) and West Coast Wound And Skin Care Inc (Burbank, CA). 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 Damon Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Damon Baker was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.