JESSIE R BAUDNER (ANP BC) – Adult Health Nurse Practitioner, NPI 1881930824

JESSIE R BAUDNER (ANP BC) is a healthcare provider. based in Manchester, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP BC. They hold a License No. 5228 (CT). The NPI Number for JESSIE R BAUDNER (ANP BC) is 1881930824

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSIE R BAUDNER (ANP BC)
NPI
1881930824
Phone
(860) 643-6000
Address
360 TOLLAND TPKE
Enumeration Date
19 December 2012
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8602462571
Graduation Year
2012 (14 years ago)
PAC ID
8729227715
Group Practice PAC ID
9830110758
Professional Enrollment ID
I20130624000614
Address ID
CT061065529HA85XXXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for JESSIE R BAUDNER (ANP BC)

  • 360 TOLLAND TPKE

    SUITE 2C

    MANCHESTER, CT 060421771

    Phone: (860) 643-6000

    Fax: (860) 647-7124

    Type: Mailing

  • 196 WATERFORD PKWY S STE 306

    WATERFORD, CT 063851234

    Phone: (860) 447-2489

    Fax: (860) 437-1231

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 175 Open Payments records for all available years, with a total value of $3,284.

Total Amount is formed as General ($3,284) + Research ($0) + Ownership ($0) = $3,284.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($943).

Total Amount

$3,284

General + Research + Ownership

Payments

175

Total payment records

General Amount

$3,284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130624000614INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12895$0
99213Established patient office or other outpatient visit, 20-29 minutes5445$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 06042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830110758View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCT
-NY
Nurse PractitionerCT
Certified Registered Nurse Anesthetist (Crna)NY
G A S T R O E N T E R O L O G YCT
P A T H O L O G YWA
Internal Medicine, GastroenterologyCT
Physician AssistantCT
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

Can I cross-check JESSIE R BAUDNER (ANP BC) using NPI 1881930824?
NPI 1881930824 belongs to JESSIE R BAUDNER (ANP BC); compare other details if you need extra assurance.
Would JESSIE R BAUDNER (ANP BC) appear as active to a payer?
You can treat JESSIE R BAUDNER (ANP BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JESSIE R BAUDNER (ANP BC)?
JESSIE R BAUDNER (ANP BC) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JESSIE R BAUDNER (ANP BC)?
Directory geography for JESSIE R BAUDNER (ANP BC) centers on Manchester, Connecticut.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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