2026 NPPES data Nurse Practitioner NPI 1255996096
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MADALYNN BAKER

Nurse Practitioner in MODESTO, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
270
Medicare Part D claims · 121 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$166.79
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MADALYNN BAKER is a Nurse Practitioner ([object Object]) practicing in MODESTO, California with a Medicare Part D prescribing footprint of 270 claims across 121 beneficiaries — 20% brand-name prescribing . Industry payments of $166.79 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MADALYNN BAKER filed 270 Medicare Part D claims in 2023 across MODESTO, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MADALYNN BAKER at a glance

Quality data not reported

NPI registry status

Active

Issued 05/07/2019

NPI 1255996096

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

270 75% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Nurse Practitioner share within California

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within California

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MADALYNN BAKER is a Nurse Practitioner provider practicing in MODESTO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1255996096. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MADALYNN BAKER appears in the CMS NPPES registry as a Nurse Practitioner provider at 3621 FOREST GLENN DR, MODESTO, CA, 95355, with a listed phone of (209) 521-7411. NPI 1255996096 was issued on 05/07/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAKER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 270 prescription claims written by this provider, covering 121 Medicare beneficiaries and totaling roughly $57K in drug spend, split 20% brand-name and 80% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3621 FOREST GLENN DR
MODESTO, CA 95355

Provider Details

NPI 1255996096
Specialty Nurse Practitioner
Gender Female
NPI Issued 05/07/2019

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MADALYNN BAKER. Source: openpaymentsdata.cms.gov.

Total received

$167

Largest payer

Amgen Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to MADALYNN BAKER. To verify MADALYNN BAKER's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MADALYNN BAKER — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 270 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

270
Total Claims
$57K
Total Drug Cost
121
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
602
Total Day Supply
17,725
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$50K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.72
Gender Split
34% female / 66% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
30
Eliquis
Apixaban
25
Clopidogrel
Clopidogrel Bisulfate
20
Nitroglycerin
20
Furosemide
19
Metoprolol Succinate
18
Ezetimibe
16
Losartan Potassium
15
Amlodipine Besylate
12
Carvedilol
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nurse Practitioner Overview

How MADALYNN BAKER fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

MADALYNN BAKER's 270 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BAKER.

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MADALYNN BAKER's specialty?
MADALYNN BAKER specializes in Nurse Practitioner and practices in MODESTO, California.
How much does MADALYNN BAKER prescribe under Medicare Part D?
In 2023, MADALYNN BAKER wrote 270 Medicare Part D claims totaling $57K in drug costs for 121 beneficiaries.
Where is MADALYNN BAKER located?
MADALYNN BAKER is located at 3621 FOREST GLENN DR, MODESTO, CA, 95355. Phone: (209) 521-7411.
What is MADALYNN BAKER's NPI number?
MADALYNN BAKER's National Provider Identifier (NPI) is 1255996096, issued on 05/07/2019.
Does MADALYNN BAKER prescribe more brand-name or generic drugs?
MADALYNN BAKER's prescribing is 20% brand-name and 80% generic drugs by claim count, with $50K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does MADALYNN BAKER prescribe most often?
Based on 2023 Medicare Part D data, MADALYNN BAKER's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MADALYNN BAKER accept Medicare?
MADALYNN BAKER appears in CMS Medicare data with 270 Part D claims and 121 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MADALYNN BAKER's credentials?
MADALYNN BAKER's NPI is 1255996096. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology