Individual provider Active NPI

Jessica Frances Baca, PA-C

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1033699731
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA204321 Issued in OR
Practice address
885 Mission St SE
Salem, OR 97302-6222
Phone
(503) 814-0273
Fax
(503) 814-0273
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA204321 OR Primary
Physician Assistant 363A00000X PA2018-0057 NM

Addresses

Primary practice location

885 Mission St SE
Salem, OR 97302-6222

Mailing address

885 Mission St SE
Salem, OR 97302-6222
Phone (503) 814-0273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618001264 OR Practitioner - Physician Assistant 4284985490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

4400 NE Halsey St
Portland, OR 97213-1545

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225-6603

9427 SW Barnes Rd
Portland, OR 97225-6652

9427 SW Barnes Rd
Suite 495
Portland, OR 97225-6612
Phone (503) 297-6234

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2018-0057NMMDPhysician Assistant
PA204321ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Cardiovascular Associates, PC CurrentSince Aug 28, 2021 Accepting new patients
Providence Health & Services Oregon CurrentSince May 27, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 27, 2025 Accepting new patients

Locations

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1033699731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 MISSION ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026222",
            "telephone_number": "503-814-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 MISSION ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026222",
            "telephone_number": "503-814-0273",
            "fax_number": "503-814-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "JESSICA",
        "middle_name": "FRANCES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA204321",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2018-0057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.