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Deactivated NPI 1205949310 Deactivated / Inactive NPI Female Practitioner

Wanda J Baker , PA

Physician Assistant • Matthews, NC

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Baker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date November 11, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Wanda Baker, PA was a registered Physician Assistant practicing in Matthews, NC. Throughout an active medical career spanning 17 years, Wanda Baker provided care at the practice location at 332 N TRADE STREET until profile deactivation on 2023-11-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

332 N Trade Street
Suite 2000

Matthews, NC 281056566

Telephone 7043028500
Fax 7043028501
Associated Practice Facility / Clinic
🏢 Mecklenburg Medical Group Facility NPI 1710202163

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Matthews, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
82 Specialists

Practicing in Matthews, NC (9374 Statewide)

Telehealth Adoption Rate
14.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
227 196 $205.00 $90.83
36415 Insertion of needle into vein for collection of blood sample
65 61 $18.00 $2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
61 60 $28.00 $9.28
99213 Established patient office or other outpatient visit, typically 15 minutes
50 46 $136.00 $60.43
81001 Manual urinalysis test with examination using microscope, automated
39 37 $15.00 $3.56
80053 Blood test, comprehensive group of blood chemicals
39 37 $30.00 $12.50
71046 X-ray of chest, 2 views
33 31 $99.00 $24.73
81003 Automated urinalysis test
31 30 $8.00 $2.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
19 18 $299.00 $123.35
80061 Blood test, lipids (cholesterol and triglycerides)
18 17 $47.00 $15.46
80048 Blood test, basic group of blood chemicals (calcium, total)
15 15 $29.00 $10.23
84443 Blood test, thyroid stimulating hormone (TSH)
12 12 $58.00 $20.33

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 101259

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Katherine Sauvageot

Internal Medicine

NPI 1053039800
NPI 1225425317

Doctor of Medicine (M.D.)

Dr. Odile Kamanzi , MD

Internal Medicine

NPI 1295172328

Doctor of Medicine (M.D.)

Dr. Kerry Barzola , MD

Internal Medicine

NPI 1548231319

Doctor of Medicine (M.D.)

Jenna Pasquith , FNP

Nurse Practitioner - Family

NPI 1679049977

Family Nurse Practitioner

Marisa Deaton

Internal Medicine

NPI 1700801792

Career & Practice History Timeline

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

13 Historical Events
⚠️
NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

📍
Updated Business Mailing Address May 29, 2019

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

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Provider Name / Credentials Updated May 29, 2019

Recorded as WANDA BAKER, PA

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Updated Business Mailing Address May 07, 2019

Registered at 332 N TRADE ST, SUITE 2000, MATTHEWS, NC 281051728

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Updated Practice Location October 01, 2018

Registered at 332 N TRADE ST, SUITE 2000, MATTHEWS, NC 281051728 (Tel: 7043028500)

📍
Updated Business Mailing Address October 01, 2018

Registered at 332 N TRADE ST, MATTHEWS, NC 281051728

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Provider Name / Credentials Updated October 01, 2018

Recorded as WANDA BAKER

NPI Profile Active February 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2015

Registered at 332 N TRADE STREET, SUITE 2000, MATTHEWS, NC 281056566 (Tel: 7043028500)

📍
Updated Business Mailing Address February 03, 2015

Registered at PO BOX 601643, CHARLOTTE, NC 282601643 (Tel: 7043028500)

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Provider Name / Credentials Updated February 03, 2015

Recorded as WANDA BAKER, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2015

Physician Assistant (License #101259 in NC)

🟢
Initial NPI Registration & Enumeration August 16, 2006

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: 1205949310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: February 03, 2015
Deactivation Date: November 11, 2023

Mailing Address

Po Box 601643

Charlotte, NC 282601643

Phone: 7043028500

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.