Individual provider Active NPI

Lisa Marie Baker, MD

  • Obstetrics & Gynecology Physician
  • Montevideo, MN
National Provider Identifier
1912970179
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36225 Issued in MN
Practice address
824 N 11TH St
Montevideo, MN 56265-1629
Phone
(320) 269-8877
Fax
(320) 321-8200
NPI assigned
Feb 8, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36225 MN Primary

Addresses

Primary practice location

824 N 11TH St
Montevideo, MN 56265-1629

Mailing address

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Other practice location 1

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

Other practice location 2

30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-8520

Other identifiers 1

IdentifierTypeStateIssuer
467865600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000975 MN Practitioner - Obstetrics/Gynecology 3870544869 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Appleton Area HealthGroup PAC ID 7618952565, shared by 4 NPIs, 18 clinicians
CCM HealthGroup PAC ID 4284539453, 69 clinicians

Practice addresses (Care Compare)

30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-2422

323 W Schlieman Ave
Appleton, MN 56208-1213

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Healthcare Corporation CurrentSince Jul 7, 2022 Accepting new patients
Infinite Health Collaborative, PA Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jul 7, 2022 Accepting new patients
Johnson Memorial Health Services CurrentSince Jul 18, 2022 Accepting new patients
CCM Health CurrentSince Dec 1, 2021 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Appleton Area Health CurrentSince Jun 3, 2022 Accepting new patients
Obstetrics, Gynecology & Infertilitiy, PA Obstetrics & Gynecology Current Accepting new patients
CCM Health CurrentSince Dec 1, 2021 Accepting new patients
Appleton Area Health CurrentSince Jun 3, 2022 Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Jul 18, 2022 Accepting new patients
Obstetrics and Gynecology Associates, P.a. Obstetrics & Gynecology CurrentSince Jan 1, 2011 Accepting new patients
CCM Health Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 170
Burnsville, MN 55337
Phone (952) 435-4190

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

712 S Cascade St
Fergus Falls, MN 56537

9550 Upland Ln N
Ste 230
Maple Grove, MN 55369
Phone 7632553400 ext. 7073

6405 France Ave S
Ste W400
Minneapolis, MN 55435
Phone (952) 920-2730

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: lbaker583758@direct.centracare.com

Organizations & group practices 14

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 14

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1912970179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-321-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-321-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1282 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Dawson",
            "state": "MN",
            "postal_code": "562322333",
            "country_code": "US",
            "telephone_number": "320-769-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Behl St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "MN",
            "postal_code": "562081616",
            "country_code": "US",
            "telephone_number": "320-289-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "36225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467865600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

Verify at the official NPI Registry.