MRS. JODI LYN BAUMGARTNER (PA-C) – Physician Assistant, NPI 1689668303

MRS. JODI LYN BAUMGARTNER (PA-C) is a healthcare provider. based in Woodbury, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9292 (MN). The NPI Number for MRS. JODI LYN BAUMGARTNER (PA-C) is 1689668303

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODI LYN BAUMGARTNER (PA-C)
NPI
1689668303
Phone
(952) 994-0114
Address
1389 CLIPPERSHIP ALCOVE
Enumeration Date
8 September 2005
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
1997 (29 years ago)
PAC ID
4789650649
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20040902000783
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
jbaumgartner203747@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MRS. JODI LYN BAUMGARTNER (PA-C)

  • 1389, Clippership Alcove, Lake Villa Estates, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551258563

    Phone: (952) 994-0114

    Type: Mailing

  • 2150, Eagle Creek Lane, Woodbury, Washington County, Minnesota, 55129, United States

    WOODBURY, MN 551293201

    Phone: (651) 436-4732

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-4400

    Type: Mailing

  • 8675 VALLEY CREEK RD

    WOODBURY, MN 551252337

    Phone: (651) 241-3000

    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: 2004-09-02

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
I20040902000783IPhysician AssistantMNTBD

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 minutes6463$0
99214Established patient office or other outpatient visit, 30-39 minutes3838$0
36415Insertion of needle into vein for collection of blood sample2525$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2222$0
87086Bacterial colony count, urine1413$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MRS. JODI LYN BAUMGARTNER (PA-C) for billing?
Administrative and clinical systems typically use NPI 1689668303 for MRS. JODI LYN BAUMGARTNER (PA-C).
Quick check: is MRS. JODI LYN BAUMGARTNER (PA-C) active?
Public NPPES data shows MRS. JODI LYN BAUMGARTNER (PA-C) with an active NPI status right now.
What services align with MRS. JODI LYN BAUMGARTNER (PA-C)'s listing?
MRS. JODI LYN BAUMGARTNER (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. JODI LYN BAUMGARTNER (PA-C)?
The directory associates MRS. JODI LYN BAUMGARTNER (PA-C) with Woodbury, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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