Individual provider Active NPI

Andrea Jeanne Baer, PA-C

  • Physician Assistant
  • Anderson, IN
National Provider Identifier
1023318508
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2345 Issued in TN
Practice address
1629 Medical Arts Blvd Ste 200
Anderson, IN 46011-3454
Phone
(765) 298-5439
Fax
(765) 298-4920
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2345 TN Primary

Addresses

Primary practice location

1629 Medical Arts Blvd Ste 200
Anderson, IN 46011-3454

Mailing address

1629 Medical Arts Blvd
Anderson, IN 46011-3454

Other practice location 1

149 Walnut Grove Church Rd
Dayton, TN 37321-7925
Phone (423) 775-5512

Other names 1

  • Andrea Jeanne Baer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abaer412702@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813001761 IN Practitioner - Physician Assistant 2062838691 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2345TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 13, 2020 Accepting new patients
Pediatric Choice LLC Past Accepting new patients
Dayton Pediatrics P C Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1629 Medical Arts Blvd
#200
Anderson, IN 46011
Phone (765) 298-5439

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: abaer412702@ecommunitydirect.com
  • Direct secure messaging: abaer717346@direct.ochin.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/rhea-a4a2033e

Organizations & group practices 4

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1023318508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 MEDICAL ARTS BLVD STE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113454",
            "telephone_number": "765-298-5439",
            "fax_number": "765-298-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Walnut Grove Church Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373217925",
            "country_code": "US",
            "telephone_number": "423-775-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAER",
        "first_name": "ANDREA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abaer412702@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "1629 Medical Arts Blvd Ste 200",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460113454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BAER",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.