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Individual provider Active NPI

Leah Rae Bauer, CNP

  • Family Nurse Practitioner
  • Stillwater, MN
National Provider Identifier
1043574783
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1224 Issued in MN
Practice address
270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone
(651) 342-1039
Fax
(651) 342-1428
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Physician Services PA 61 clinicians

Practice addresses (Care Compare)

270 Main St N
Suite 300
Stillwater, MN 55082-6788
Phone (651) 342-1039

Hospital & facility affiliations

  • Interim Healthcare of the Twin Cities Home health agency, Roseville, MN, CCN 247104
  • Accentcare Fairview Home Health - West, LLC Home health agency, Saint Paul, MN, CCN 247078
  • Centerwell Home Health Home health agency, Brooklyn Park, MN, CCN 247145
  • Lifespark Home Health Home health agency, Saint Louis Park, MN, CCN 248118
  • Home Health Care Inc Home health agency, Golden Valley, MN, CCN 248037
  • Grace Hospice Hospice, Minneapolis, MN, CCN 241595
  • Park Nicollet Methodist Hospital Hospice, Saint Louis Park, MN, CCN 241512
  • Brighton Hospice Hospice, Saint Louis Park, MN, CCN 241594
  • Our Lady of Peace Hospice Hospice, Saint Paul, MN, CCN 241573
  • Minnesota Hospice LLC Hospice, Lakeville, MN, CCN 241582
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120828000808 MN Practitioner - Nurse Practitioner 8921255811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 173883 4MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services, P.a. CurrentSince Oct 1, 2014 Accepting new patients

Locations

270 Main St N
Ste 300
Stillwater, MN 55082
Phone (651) 342-1039

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R 173883 4 MN
Family Nurse Practitioner 363LF0000X 1224 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

270 Main St N Ste 300
Stillwater, MN 55082-6788

Mailing address

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone (651) 342-1039

Other names 1

NPPES NPI Registry
  • Leah Rae Malone Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2026.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1043574783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAIN ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826788",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAIN ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826788",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "LEAH",
        "middle_name": "RAE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 173883 4",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "MALONE",
            "middle_name": "RAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.