MS. BRENDA JOY BAKER (P.A.C) – Physician Assistant, NPI 1417922873

MS. BRENDA JOY BAKER (P.A.C) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C. They hold a License No. PA22909 (CA). The NPI Number for MS. BRENDA JOY BAKER (P.A.C) is 1417922873

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. BRENDA JOY BAKER (P.A.C)
NPI
1417922873
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
21 February 2006
Last Update Date
13 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2188245027
Graduation Year
2003 (23 years ago)
PAC ID
3173508538
Group Practice PAC ID
1658762646
Professional Enrollment ID
I20040622000118
Address ID
MN550707710SA22978NWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for MS. BRENDA JOY BAKER (P.A.C)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 7373 FRANCE AVE S STE 202

    EDINA, MN 554354551

    Phone: (952) 835-1311

    Type: Location

  • 2815, Steele Canyon Road, Jamacha, El Cajon, San Diego County, California, 92019, United States

    SOVEREIGN HEALTH

    EL CAJON, CA 920194619

    Phone: (952) 200-5238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040622000118IPhysician AssistantMNTBD
I20150905000045IPhysician AssistantCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 1658762646View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantNC
Nurse PractitionerMN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What number should I use to identify MS. BRENDA JOY BAKER (P.A.C) for billing?
Administrative and clinical systems typically use NPI 1417922873 for MS. BRENDA JOY BAKER (P.A.C).
Does the public listing show MS. BRENDA JOY BAKER (P.A.C) as active?
MS. BRENDA JOY BAKER (P.A.C)'s NPI record reflects an active status in NPPES.
Which specialty label fits MS. BRENDA JOY BAKER (P.A.C)?
NPPES ties MS. BRENDA JOY BAKER (P.A.C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MS. BRENDA JOY BAKER (P.A.C) in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for MS. BRENDA JOY BAKER (P.A.C), then verify phone and hours locally.
Why is information missing for MS. BRENDA JOY BAKER (P.A.C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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