Individual provider Active NPI

Jovan Collantes Baker, MD

  • Family Medicine Physician
  • Bonita Springs, FL
National Provider Identifier
1528694544
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME177331 Issued in FL
Practice address
26800 S Tamiami TRL Ste 340
Bonita Springs, FL 34134-4355
Phone
(239) 495-4490
Fax
(239) 468-7923
NPI assigned
Mar 21, 2020
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-16244 AR
Family Medicine Physician 207Q00000X ME177331 FL Primary

Addresses

Primary practice location

26800 S Tamiami TRL Ste 340
Bonita Springs, FL 34134-4355

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 495-4490

Other practice location 1

26800 S Tamiami Trl Ste 350
Bonita Springs, FL 34134-4355
Phone (239) 495-4490

Other practice location 2

605 Salem Rd Ste B3
Conway, AR 72034-4863
Phone (501) 585-3935

Other identifiers 1

IdentifierTypeStateIssuer
128900200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbaker697149@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230802003775 AR Practitioner - Family Practice 4385005669
I20251130000021 FL Practitioner - Family Practice 4385005669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

26800 S Tamiami TRL
Suite 340
Bonita Springs, FL 34134-4355
Phone (239) 494-4490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME177331FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Jul 17, 2023 Accepting new patients
Arkansas Health Group Current Accepting new patients
Lee Health System Inc CurrentSince Nov 5, 2025 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Nov 5, 2025 Accepting new patients
Arkansas Health Group CurrentSince Jul 17, 2023 Accepting new patients

Locations

605 Salem Rd
Ste B3
Conway, AR 72034
Phone (501) 585-3935

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

26800 Tamiami Trl
Ste 340
Bonita Springs, FL 34134
Phone (239) 494-4490

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jbaker689760@direct.baptist-healthar.org
  • Direct secure messaging: jbaker697149@direct.leememorial.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1528694544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-495-4490",
            "fax_number": "239-468-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 S TAMIAMI TRL STE 340",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344355",
            "telephone_number": "239-495-4490",
            "fax_number": "239-468-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 S Tamiami Trl Ste 350",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344355",
            "country_code": "US",
            "telephone_number": "239-495-4490",
            "fax_number": "239-468-7923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Salem Rd Ste B3",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720344863",
            "country_code": "US",
            "telephone_number": "501-585-3935",
            "fax_number": "501-585-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOVAN",
        "middle_name": "COLLANTES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16244",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME177331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128900200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaker697149@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.