NPIMap

Individual provider Active NPI

Jessica R Baitani, MD

  • Internal Medicine Physician
  • Waconia, MN
National Provider Identifier
1285800466
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51659 Issued in MN
Practice address
500 S Maple St
Waconia, MN 55387-1791
Phone
(952) 441-2191
NPI assigned
May 7, 2008
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 51659 MN Primary

Addresses

Primary practice location

500 S Maple St
Waconia, MN 55387-1791

Mailing address

500 S Maple St
Waconia, MN 55387-1791
Phone (612) 644-9905

Other practice location 1

101 Willmar Ave SW
Affiliated Community Medical Centers
Willmar, MN 56201
Phone (320) 231-5000

Other names 1

  • Jessica Baitani Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbaitani29705@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000434 MN Practitioner - Internal Medicine 6507912334 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regency Hospital of Minneapolis, LLCGroup PAC ID 0345203840, 22 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286
Phone (763) 588-2750

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

560 S Maple St
Waconia, MN 55387-1757

560 S Maple St
Waconia, MN 55387-1759

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51659MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Centracare Clinic Current Accepting new patients
Carris Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Jan 1, 2024 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Jul 31, 2025 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jan 1, 2024 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2024 Accepting new patients
Fairview Clinics CurrentSince Aug 16, 2021 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Aug 16, 2021 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2024 Accepting new patients
Carris Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Healtheast St. John's Hospital CurrentSince Aug 16, 2021 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Aug 16, 2021 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Aug 16, 2021 Accepting new patients
Ridgeview Medical Center CurrentSince Oct 1, 2013 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
Sibley Medical Center CurrentSince Sep 18, 2018 Accepting new patients
Regency Hospital of Minneapolis, LLC CurrentSince Jun 5, 2013 Accepting new patients
Ridgeview Medical Center CurrentSince Oct 1, 2013 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jan 1, 2024 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Jan 1, 2024 Accepting new patients
Centracare Clinic Past Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

500 S Maple St
Ofc
Waconia, MN 55387

560 S Maple St
Ste 400
Waconia, MN 55387
Phone (952) 442-3188

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: jbaitani29705@direct.centracare.com

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1285800466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871791",
            "telephone_number": "612-644-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871791",
            "telephone_number": "952-441-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Willmar Ave SW",
            "address_2": "Affiliated Community Medical Centers",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "56201",
            "country_code": "US",
            "telephone_number": "320-231-5000",
            "fax_number": "320-231-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAITANI",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "51659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaitani29705@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jbaitani29705@direct.centracare.com",
            "address_1": "1200 6th Ave N",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563032735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BAITANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.