Individual provider Active NPI

Lucas Paul Bachmann, MD

  • Psychiatry Physician
  • St. Cloud, MN
National Provider Identifier
1003137449
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
56257 Issued in MN
Practice address
1406- 6TH Avenue North
St. Cloud Hospital
St. Cloud, MN 56303-1901
Phone
(320) 251-2700
Fax
(320) 229-5109
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 56257 MN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 56257 MN

Addresses

Primary practice location

1406- 6TH Avenue North
St. Cloud Hospital
St. Cloud, MN 56303-1901

Mailing address

1900 Centracare Cir # 2475
Centracare Health Plaza
Saint Cloud, MN 56303-5000
Phone (320) 229-5199

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
I20140423001767 MN Practitioner - Psychiatry 4183872310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bachmann and Associates IncGroup PAC ID 0749271781, 22 clinicians

Practice addresses (Care Compare)

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone 65137904444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56257MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bachmann and Associates, Inc CurrentSince Jul 24, 2022 Accepting new patients
St. Cloud Hospital CurrentSince Apr 4, 2014 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jul 1, 2018 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jul 1, 2018 Accepting new patients
St. Cloud Hospital CurrentSince Apr 4, 2014 Accepting new patients
Bachmann and Associates, Inc. Dba Counseling Care CurrentSince Jul 1, 2014 Accepting new patients
St. Cloud Hospital Current Accepting new patients
Waterbury Hospital Past Accepting new patients
St. Cloud Hospital Past Accepting new patients

Locations

150 E Travelers Trl
Ste G
Burnsville, MN 55337
Phone (952) 892-8459

8669 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 379-0444

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
#2475
Saint Cloud, MN 56303
Phone (320) 229-4977

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Interoperability endpoints

  • Direct secure messaging: lbachmann@direct.wtbyhosp.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1a27c25c-f98c-457f-a68f-46b79305bda6/
  • Direct secure messaging: lbachmann169755@direct.centracare.com

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1003137449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR # 2475",
            "address_2": "CENTRACARE HEALTH PLAZA",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-5199",
            "fax_number": "320-229-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406- 6TH AVENUE NORTH",
            "address_2": "ST. CLOUD HOSPITAL",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700",
            "fax_number": "320-229-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMANN",
        "first_name": "LUCAS",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "56257",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "56257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Cloud, MN

Sources for this page

Verify at the official NPI Registry.