JESSICA BAISLEY
NPI 1497319222
Dentist - Pediatric Dentistry in Santa Rosa, CA

Q: What is Jessica Baisley's NPI number?

The NPI number for Jessica Baisley is 1497319222. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Q: What is Jessica Baisley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Baisley was last updated on July 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2019PECOS Enrolled

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 396-5151 Get Directions Write a Review

NPPES record last updated: July 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2023, Apr 26, 2019 (2 updates tracked since 2019).

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About Jessica Baisley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BAISLEY (NPI 1497319222) is an individual pediatric dentistry provider in Santa Rosa, California, licensed in California (104711) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1497319222

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameJESSICA BAISLEY

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-0058

Mailing Address3375 Parkgate CtRichmond, CA 94806-1989 · (510) 367-0744

Phone(707) 396-5151

Sole ProprietorYes

Enumeration DateApril 26, 2019

Last NPPES UpdateJuly 30, 20232 updates tracked since enumeration

NPPES CertifiedJuly 30, 2023

✔ NPI 1497319222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 104711

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1300 N DUTTON AVE, Santa Rosa, CA 95401

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Secondary Practice Location 1

Location 12023 Vale RdRichmond, CA 94806-0058 · Phone (510) 981-4100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Baisley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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