Active NPI
Edward R Bauer, CRNA
- Certified Registered Nurse Anesthetist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60408388
- Practice address
- 3927 Rucker Ave
Everett, WA 98201-4833 - Phone
- (425) 259-0966
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R031739 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60408388 | WA | Primary |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201-4833
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 258-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R031739 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paceline Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Washington Anesthesia Partners P.C. | Current | Accepting new patients | |
| Salish Sedation Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Mousam Valley Orthopaedics PA | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| The Medical Group Department of Goodall Hospital | Past | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054
340 Birchwood Ave
Bellingham, WA 98225
Phone (267) 817-8902
2930 Squalicum Pkwy
Ste 202
Bellingham, WA 98225
Phone (360) 734-1420
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1417273780
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bellingham, WA
- NPI 1457982308
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1508566183
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, WA
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
- Orthopaedic Surgery Physician
- Sanford, ME
- NPI 1043374044
-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1356356869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1023038486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-258-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014833",
"telephone_number": "425-259-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "EDWARD",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "R031739",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60408388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.