Active NPI
Vanessa L Baca, DO
- Psychiatry Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 62933
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-4786
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 62933 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Other practice location 1
420 Delaware Street SE, MMC 292
Minneapolis, MN 55455
Phone (612) 626-5589
Other practice location 2
12301 Whitewater Dr
Minnetonka, MN 55343-4104
Phone (952) 999-6097
Other practice location 3
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-8515
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715004156 | MN | Practitioner - Psychiatry | 5890090922 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rocky Vista University College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centracare Health System-NR LLCSonder Behavioral Health and Wellness IncSt Cloud HospitalHennepin Healthcare System Inc
Practice addresses (Care Compare)
1013 Hart Blvd
Monticello, MN 55362-8575
Phone (763) 295-2945
12301 Whitewater Dr
Suite 101
Minnetonka, MN 55343-9447
Phone (952) 999-6097
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
- Hennepin County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62933 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Sonder Behavioral Health & Wellness, Inc. | Psychiatry | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Past | Accepting new patients |
Locations
420 Delaware St SE
#292
Minneapolis, MN 55455
Phone (612) 626-3345
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343
Phone (952) 999-6097
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Interoperability endpoints
- vbaca596630@direct.centracare.com
Organizations & group practices 21
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.
-
- Clinical Psychologist
- Minnetonka, MN
- NPI 1780031732
MN, Psychiatry
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Home Health Agency
- Waite Park, MN
- NPI 1952350605
-
- Psychiatric Hospital Unit
- Minneapolis, MN
- NPI 1356369524
-
- Psychiatric Hospital Unit
- Monticello, MN
- NPI 1003353202
-
- Medicare Defined Swing Bed Hospital Unit
- Monticello, MN
- NPI 1376883769
Hospital & facility affiliations 1
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": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1922494624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-4786"
}
],
"practiceLocations": [
{
"address_1": "420 Delaware Street SE, MMC 292",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55455",
"country_code": "US",
"telephone_number": "612-626-5589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12301 Whitewater Dr",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553434104",
"country_code": "US",
"telephone_number": "952-999-6097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-8515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACA",
"first_name": "VANESSA",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "62933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.