NICHOLAS SPENCER BENJAMIN LACKMAN BAKER MD
NPI 1760060115
Psychiatry & Neurology - Psychiatry in San Mateo, CA
About Nicholas Spencer Benjamin Lackman Baker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS SPENCER BENJAMIN LACKMAN BAKER MD (NPI 1760060115) is an individual psychiatry provider in San Mateo, California, licensed in California (A201790) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Nicholas Spencer Benjamin Lackman Baker Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Lackman Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94704
- Reassigned Medicare billing, California enrollment
- 116 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 94403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicholas Lackman Baker's NPI number?
The NPI number for Nicholas Lackman Baker is 1760060115. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Nicholas Lackman Baker located?
Nicholas Lackman Baker practices at 1900 Ofarrell St Ste 140, San Mateo, CA 94403. The listed phone number is (650) 393-4788.
What is Nicholas Lackman Baker's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Nicholas Lackman Baker enrolled in Medicare?
Yes. Nicholas Lackman 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 organization bills Medicare for Nicholas Lackman Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Lackman Baker reassigns Medicare benefits to Bay Psychiatric Associates (Berkeley, CA). The 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 Nicholas Lackman 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 Nicholas Lackman Baker was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicholas Spencer Benjamin Lackman Baker, MD · NPI 1760060115
Psychiatry physician in San Mateo, California. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1760060115 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A201790 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 OFARRELL ST STE 140, San Mateo, CA 94403-1332
- **Phone:** (650) 393-4788
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bay Psychiatric Associates (NPI 1427163229, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760060115) · Data from the CMS NPPES public registry.