Individual provider Active NPI

Vanessa L Baca, DO

  • Psychiatry Physician
  • Saint Paul, MN
National Provider Identifier
1922494624
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
62933 Issued in MN
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

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC 63 clinicians
Sonder Behavioral Health and Wellness Inc 23 clinicians
St Cloud Hospital 215 clinicians
Hennepin Healthcare System Inc 905 clinicians

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 Hospital, Minneapolis, MN, CCN 240004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62933MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System Inc CurrentSince Jul 19, 2021 Accepting new patients
Centracare Health System-NR LLC CurrentSince Oct 1, 2021 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jul 19, 2021 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
St. Cloud Hospital CurrentSince Oct 1, 2021 Accepting new patients
Sonder Behavioral Health & Wellness, Inc. Psychiatry CurrentSince Jul 19, 2021 Accepting new patients
Group Health, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Group Health, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
St. Cloud Hospital CurrentSince Oct 1, 2021 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

  • Direct secure messaging: 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.

View all 21

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

Verify at the official NPI Registry.