NPI age
19 years
Enumerated 2006-07-22
● Active Type 2 · Organization
Wallace C Baker
Wallace C Baker is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baker
Doctor
Last NPPES update
2010-07-19
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1880 John Adams Pkwy
Idaho Falls, ID 834014315
Mailing address
1880 John Adams Pkwy
Idaho Falls, ID 834014315
Authorized official
Wallace C. Baker, M.D.
Doctor
📞 2085246633
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Wallace Baker, M.D. Family Medicine NPI 1083696967
- Jessica Christensen, FNP Nurse Practitioner NPI 1457913162
- Wade Christensen, P.A. Physician Assistant NPI 1386626463
- Telietha Hammon, FNP-BC Nurse Practitioner NPI 1942976592
- Joshua Hansen, PA-C Physician Assistant NPI 1588948087
- Rebecca Newby, PA-C Physician Assistant NPI 1457685265
- Laura Tabor, P.A. Physician Assistant NPI 1538121322
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1083696967 | IND NPI NUMBER |
| 05 (ID) | 807937700 | |
| 01 (ID) | D1614 | RAILROAD MCR GROUP |
| 01 (ID) | 8K123 | GRP BLUECROSS NO. |
| 01 (ID) | 000010027582 | BLUE SHIELD GROUP NUMBER |
| 01 (ID) | 72132 | BLUECROSS NUMBER |
| 01 (ID) | 000010001770 | BLUE SHILD INDIVIDUAL |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Baker Family Practice
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
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