MEDICARE: BRIANNA JEAN BAKER BSN, RN, CCRN, CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	2026006269	MO
2	163WC0200X	Critical Care Medicine Registered Nurse	2019004162	MO

General Provider Information

NPI Number	:	1376253195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA JEAN BAKER BSN, RN, CCRN, CRNA

Provider Business Mailing Address
First Line	:	PO BOX 7412011
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	CHICAGO
State	:	IL
Zip	:	60674-2011
Country	:	US
Telephone Number	:	314-273-6249
Fax Number	:	314-747-5157

Provider Business Practice Location Address
First Line	:	1 BARNES JEWISH HOSPITAL PLZ
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1003
Country	:	US
Telephone Number	:	800-862-9980
Fax Number	:	314-362-1185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2022
Last Update Date	:	04/09/2026

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