Active NPI 1639204043 Individual Practitioner Female Practitioner

Gail Baker , APN

Nurse Practitioner • Newark, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gail Baker, APN is a certified Nurse Practitioner practicing in Newark, NJ. With approximately 17 years of clinical experience since completing medical education in 2009, Gail Baker delivers high-quality medical care to the local community at 201 LYONS AVE.

Gail Baker is affiliated with Dover Cardiology Center, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

201 Lyons Ave
G4

Newark, NJ 071122027

Telephone 9739268592

Fax 9739238859

Associated Practice Facility / Clinic

🏢 Newark Beth Israel Hospital Facility NPI 1396712956

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Newark, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +5.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

46 Specialists

Practicing in Newark, NJ (1984 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (17 Years) 17 Yrs

Newark Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	194	$120.00	$81.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	42	$187.88	$100.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	297	214	$120.00	$81.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$152.03	$104.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	23	$125.00	$66.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	17	$300.00	$126.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	83	$125.00	$66.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	43	$80.00	$35.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	65	$300.00	$124.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$150.00	$94.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	51	$125.00	$66.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	35	$80.00	$35.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	51	$300.00	$124.05

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ NN60361

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8610401 (NJ)

Hospital & Practice Group Affiliations

Dover Cardiology Center, Llc

413 Lakehurst Rd, Toms River, NJ 087557382

Phone: 7325574777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Najam Wasty , MD

Internal Medicine - Cardiovascular Disease

NPI 1841247343

Doctor of Medicine (M.D.)

Dr. Mohammad Asif , MD

Internal Medicine - Interventional Cardiology

NPI 1912954413

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 201 LYONS AVE, G4, NEWARK, NJ 071122027 (Tel: 9739268592)

📍

Updated Business Mailing Address July 08, 2007

Registered at 201 LYONS AVE, G4, NEWARK, NJ 071122027 (Tel: 9739268592)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GAIL BAKER, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #NN60361 in NJ)

🟢

Initial NPI Registration & Enumeration February 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639204043

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 23, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 Lyons Ave, G4

Newark, NJ 071122027

Phone: 9739268592

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.