NPI

Colleen Diane Baker

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2007-06-29
Last updated
2019-07-30

Specialties

Licenses

License WI
179-320
License IN
01080835A
License MO
2018029425
License KY
51797
License ND
15546
License NY
295094
License MN
64041
License KS
04-41692
License SD
11003
License CO
CDR.0000156
License IA
MD-45438
License TN
59150
License ME
MD22452
License MI
4301115893
License NE
25564

Location

Practice location
14011 Brush Creek Pl
City
Roca NE
Postal code
68430-4403
Phone
(402) 354-4000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Roca, NE. 21 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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