Jessica J Baughman, PA-C
Individual provider Active NPI Physician Assistant · Lebanon, NH
NPI 1174076152 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1174076152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2703 (NH)
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Porter Hospital Inc
Practice addresses (Care Compare)
115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753-1292
Phone (802) 388-7185
Hospital & facility affiliations
- Porter Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180911001979 | VT | Practitioner - Physician Assistant | 2668769746 | Reassigns benefits to 3 organizations |
| I20240625000514 | NH | Practitioner - Physician Assistant | 2668769746 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2703 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Rutland Hospital, Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Porter Hospital Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Porter Hospital, Inc | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185
160 Allen St
Rutland, VT 05701
Interoperability endpoints
- jbaughman628314@direct.uvmhealth.org
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055.0031396 | VT | |
| Medical Physician Assistant | 363AM0700X | 055.0031396 | VT | |
| Physician Assistant | 363A00000X | 2703 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
PO Box 810
Hanover, NH 03755-0810
Other practice location 1
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Other practice location 2
115 Porter Dr
Middlebury, VT 05753-8629
Phone (802) 388-4701
Other providers in Lebanon, NH
- Danielle Basta
- Maria F Bates
- Nikhil N Batra
- Anusha Kumari Battula
- Eric M. Bauernschmidt
- Melissa Baughman
- Richard D Baughman
- Wendy E Bayles Dazet
- Jocelyn Michelle Beach
- Michael L Beach
All providers in Lebanon, NH · Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.