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JACQUELINE BAKER CRNP
NPI 1811525819
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since March 27, 2020PECOS Enrolled
4700 WISSAHICKON AVE STE 110, PHILADELPHIA, PA 19144(267) 597-3600 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2021, Mar 27, 2020 (2 updates tracked since 2020).

About Jacqueline Baker Crnp NPPES

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

JACQUELINE BAKER CRNP (NPI 1811525819) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021672) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1811525819
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACQUELINE BAKERCredential: CRNP
Location Address4700 WISSAHICKON AVE STE 110Philadelphia, PA 19144-4252
Mailing Address4700 Wissahickon Ave Ste 118Philadelphia, PA 19144-4248 · (267) 597-3600
Phone(267) 597-3600
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1811525819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in PA · SP021672
4700 WISSAHICKON AVE STE 110, Philadelphia, PA 19144
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Secondary Practice Location 1

Location 16120 Woodland Ave Fl 1Philadelphia, PA 19142-3200 · Phone (215) 727-4721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Baker Crnp 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 19144 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 Jacqueline Baker's NPI number?

The NPI number for Jacqueline Baker is 1811525819. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Jacqueline Baker located?

Jacqueline Baker practices at 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144. The listed phone number is (267) 597-3600.

What is Jacqueline Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jacqueline Baker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Baker was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.