Mrs Jacquelyn Rose Baker, FNP-C - Medicare Nurse Practitioner in Bristol, TN

Mrs Jacquelyn Rose Baker, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holston Medical Group Pc and her current practice location is 240 Medical Park Blvd Ste 3700, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 274-6365.

Mrs Jacquelyn Rose Baker is licensed to practice in Tennessee (license number 23759) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144713728.

Contact Information

Mrs Jacquelyn Rose Baker, FNP-C
240 Medical Park Blvd Ste 3700,
Bristol, TN 37620-7350
(423) 274-6365
(423) 990-2492

Map and Direction




Provider's Profile

Full NameMrs Jacquelyn Rose Baker
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location240 Medical Park Blvd Ste 3700, Bristol, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jacquelyn Rose Baker graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1144713728
  • Provider Enumeration Date: 06/08/2018
  • Last Update Date: 10/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729330014
  • Enrollment ID: I20181015003548

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Rose Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144713728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 23759 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 23759 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754221

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacquelyn Rose Baker allows following entities to bill medicare on her behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacquelyn Rose Baker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacquelyn Rose Baker, FNP-C
Po Box 9,
Kingsport, TN 37662-0009

Ph: (423) 857-2093
Mrs Jacquelyn Rose Baker, FNP-C
240 Medical Park Blvd Ste 3700,
Bristol, TN 37620-7350

Ph: (423) 274-6365

Reviews and Comments


Nurse Practitioner Nurses in Bristol, TN

Mrs. Kelly Carter Simcox, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 212 Midway Medical Park, Bristol, TN 37620
Phone: 423-844-6515    Fax: 423-652-2590
Mrs. Theresa M Kalb, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620
Phone: 607-351-1793    
Kimi Kay Guffey, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620
Phone: 423-722-5000    Fax: 423-722-5130
Laura Ann Eller, AGACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2298 Highway 126, Bristol, TN 37620
Phone: 307-371-1381    
Shellie Rose Butler, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620
Phone: 423-722-5000    Fax: 423-722-5130
Mrs. Jo Anne Roe Viers, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620
Phone: 423-844-4975    Fax: 423-844-4987
Mikayla B Duncan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 271 Medical Park Blvd, Bristol, TN 37620
Phone: 423-274-8600    Fax: 423-390-6845

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.