CEDAR KRUESI BROCK BAKER PA-C
NPI 1710658430
Physician Assistant in Atlanta, GA

Q: What is Cedar Baker's NPI number?

The NPI number for Cedar Baker is 1710658430. It was assigned to this individual provider in the NPPES registry on September 22, 2021. The provider is also known as Cedar Kruesi Brock.

Q: What is Cedar Baker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cedar Baker was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 22, 2021PECOS Enrolled

275 COLLIER RD NW STE 300, ATLANTA, GA 30309(404) 350-0009 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cedar Kruesi Brock Baker Pa-c NPPES

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

CEDAR KRUESI BROCK BAKER PA-C (NPI 1710658430) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (11433) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710658430

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCEDAR KRUESI BROCK BAKERCredential: PA-C

Location Address275 COLLIER RD NW STE 300Atlanta, GA 30309-1740

Mailing Address1462 Clifton Rd NeAtlanta, GA 30322-1063

Phone(404) 350-0009

Sole ProprietorNo

Enumeration DateSeptember 22, 2021

Last NPPES UpdateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1710658430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 11433

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

275 COLLIER RD NW STE 300, Atlanta, GA 30309

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Other Names 1

Former Name (1)Cedar Kruesi Brock

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedar Kruesi Brock Baker Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

MARY ALLENE HARRISON NP-C

Nurse Practitioner (Adult Health)