Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Lambert Baker, PA

Individual provider Physician Assistant · NPI 1245951888

Jordan Lambert Baker, PA is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2024, 2 years ago. Practices with Glacial Ridge Hospital District, a 69-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4024 Oakland Ave
Minneapolis, MN 55407-3119
Phone: (760) 877-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15101 (MN)

Record details

NPI number1245951888
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address4024 Oakland Ave, Minneapolis, MN 55407-3119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Glacial Ridge Hospital District — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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