Provider Demographics
NPI:1184988610
Name:BAKER, JANE MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:MARIE
Last Name:BAKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 2758
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50704-2758
Mailing Address - Country:US
Mailing Address - Phone:319-235-5390
Mailing Address - Fax:319-235-5607
Practice Address - Street 1:1015 S HACKETT RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-3543
Practice Address - Country:US
Practice Address - Phone:319-234-5990
Practice Address - Fax:319-234-5994
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-117453363LF0000X
IAA117453363L00000X
MN11617363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1184988610Medicaid
IA421417307-VPOtherUHC - RV
IA1184988610OtherWELLMARK
IA1184988610OtherWELLMARK
IA719270045Medicare PIN