Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Ronald Baker, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295373785

Dr. Jeremy Ronald Baker, PA is a Physician Assistant in Hartford, Connecticut. Qualified in 2020, 6 years ago. Practices with Prime Healthcare, PC, a 68-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19 Woodland St Ste 23
Hartford, CT 06105-2368
Phone: (860) 522-2251
Fax: (860) 493-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 — (203) 758-8995

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295373785
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2019
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prime Healthcare, Pc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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