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: October 25, 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 (2025).

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 2025
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 16601 Park Of Commerce Blvd Ste 12-027Boca Raton, FL 33487-8247 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 28550 W 38th AveWheat Ridge, CO 80033-4300 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 31027 N 27th StBillings, MT 59101-0711 · Phone (406) 237-5110 · Fax (855) 978-2444
Location 4302 E Carson AveLas Vegas, NV 89101-5905 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 5206 Church St Ste 1Clover, SC 29710-1009 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 61017 2nd St SWRoanoke, VA 24016-4436 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 73830 E Van Buren StPhoenix, AZ 85008-6920 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 85373 S Green St Ste 400Murray, UT 84123-4740 · Phone (833) 442-2670 · Fax (801) 442-2671
Location 9116 W 3rd Ave Ste 1Gastonia, NC 28052-4368 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 10221 1st Ave W Ste 280Seattle, WA 98119-4285 · Phone (704) 689-0393 · Fax (855) 978-2444
Location 119525 Birkdale Crossing Dr Ste 300Huntersville, NC 28078-8459 · Phone (704) 360-3637

Other Identifiers 3

OtherQ554550281SC · Ptan
Medicaid1659666444NC
MedicaidSW1253SC

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

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 IDI20240923000571
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

9

Medicare enrollment records show Shukairo Baker reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
455 LAKESHORE PKWY
Rock Hill, SC 29730
  • Reassigned Medicare billing, South Carolina enrollment
  • 16 clinicians in this Medicare group
23 mi
Community/Behavioral Health
5700 EXECUTIVE CENTER DR, SUITE 110
Charlotte, NC 28212
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
Psychologist
122 GATEWAY BLVD STE C
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
550 GLENWOOD DR
Mooresville, NC 28115
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Vitae Health Medical North Carolina PLLC
  • 121 clinicians in this Medicare group
Psychiatry
401 4TH ST SW STE 202
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 65 clinicians in this Medicare group
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
Clinical
1300 DON JUAN RD
Hertford, NC 27944
  • Reassigned Medicare billing, North Carolina enrollment
  • 40 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
Primary Care
23770 E SMOKY HILL RD
Aurora, CO 80016
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 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

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.

Which organizations bill Medicare for Shukairo Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shukairo Baker reassigns Medicare benefits to 9 organizations: Affinity Health Center (Rock Hill, SC), Monarch (Charlotte, NC), Integrative Wellness Solutions, PLLC (Mooresville, NC), Telos Health Systems Nc PLLC (Mooresville, NC), Eleanor Health Professional Nc, PLLC (Hickory, NC) and 4 more organizations, listed in the Medicare section above. 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 Shukairo Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 9 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 5 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.