SHUKAIRO MACK BAKER APRN, PMHNP-BC, LCSW
NPI 1659666444
Nurse Practitioner - Psychiatric/Mental Health in Rock Hill, SC

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
455 LAKESHORE PKWY, ROCK HILL, SC 29730(803) 909-6363(803) 909-6390 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 14, 2026, Mar 25, 2026 and 9 more (12 updates tracked since 2016).

About Shukairo Mack Baker Aprn, Pmhnp-bc, Lcsw NPPES

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

SHUKAIRO MACK BAKER APRN, PMHNP-BC, LCSW (NPI 1659666444) is an individual psychiatric/mental health provider in Rock Hill, South Carolina, licensed in North Carolina (5020242) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659666444
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHUKAIRO MACK BAKERCredential: APRN, PMHNP-BC, LCSW
Location Address455 LAKESHORE PKWYRock Hill, SC 29730-4205
Mailing Address455 Lakeshore PkwyRock Hill, SC 29730-4205 · Fax (877) 658-8669
Fax(803) 909-6390
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 9, 2011
Last NPPES UpdateMay 5, 202612 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1659666444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · 5020242 Licensed in VA · 0024194469 Licensed in NV · 890763 Licensed in AZ · 317733 Licensed in WA · AP70007419 Licensed in UT · 13998789-4405 Licensed in FL · APRN11044782 Licensed in UT · 13998789-8900 Licensed in CO · C-RXN.0102908-C-NP Licensed in SC · 31253A Licensed in MT · 254611
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C008389 (NC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 11094 (SC), C008389 (NC)
455 LAKESHORE PKWY, Rock Hill, SC 29730

Other Names 1

Former Name (1)Shukairo Mack Townsend

Secondary Practice Locations 11

Location 15373 S Green St Ste 400Murray, UT 84123-4740 · Phone (833) 442-2670 · Fax (801) 442-2671
Location 23830 E Van Buren StPhoenix, AZ 85008-6920 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 38550 W 38th AveWheat Ridge, CO 80033-4300 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 41027 N 27th StBillings, MT 59101-0711 · Phone (406) 237-5110 · Fax (855) 978-2444
Location 5302 E Carson AveLas Vegas, NV 89101-5905 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 6206 Church St Ste 1Clover, SC 29710-1009 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 71017 2nd St SWRoanoke, VA 24016-4436 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 89525 Birkdale Crossing Dr Ste 300Huntersville, NC 28078-8459 · Phone (704) 360-3637
Location 9221 1st Ave W Ste 280Seattle, WA 98119-4285 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 10116 W 3rd Ave Ste 1Gastonia, NC 28052-4368 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 116601 Park Of Commerce Blvd Ste 12-027Boca Raton, FL 33487-8247 · Phone (704) 689-0393 · Fax (855) 978-2444

Other Identifiers 3

OtherQ554550281SC · Ptan
Medicaid1659666444NC
MedicaidSW1253SC

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

Shukairo Mack Baker Aprn, Pmhnp-bc, Lcsw 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 ID8921241522
PECOS Enrollment IDI20130829000692, I20240923000571
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29730 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Nurse Practitioner (Family)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Counselor (Professional)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Family Medicine
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Pharmacy (Community/Retail Pharmacy)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Social Worker (Clinical)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Physician Assistant
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Family)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
Dentist
455 LAKESHORE PKWY
ROCK HILL, SC 29730

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 Shukairo Baker's NPI number?

The NPI number for Shukairo Baker is 1659666444. It was assigned to this individual provider in the NPPES registry on June 9, 2011. The provider is also known as Shukairo Mack Townsend.

Where is Shukairo Baker located?

Shukairo Baker practices at 455 Lakeshore Pkwy, Rock Hill, SC 29730. The listed phone number is (803) 909-6363.

What is Shukairo Baker's specialty?

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

Is Shukairo Baker enrolled in Medicare?

Yes. Shukairo 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 Shukairo Baker accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and BridgeSpan Health Company and 6 other insurers list Shukairo 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 Shukairo Baker was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.