Kelsey Nicole Bauer, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G166049 Issued in IA

Practice address

3500 W 4TH St
Sioux City, IA 51103-3203

Phone

(800) 472-9018

NPI assigned

Oct 28, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jackson Recovery Centers IncGroup PAC ID 2466599634, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Recovery Centers, Inc.

  dba Rosecrance Jackson Centers

  • Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1811994973
  Medicare reassignment Care Compare group NPD
• Jackson Recovery Centers, Inc.

  dba Child and Adolescent Recovery Hospital Crisis and Stabilization Unit

  • Children's Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1770966491
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1114681889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89190 HIGHWAY 81",
            "city": "FORDYCE",
            "state": "NE",
            "postal_code": "687363013",
            "telephone_number": "402-640-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033203",
            "telephone_number": "800-472-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G166049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barth Family Chiropractic, P.C. (Barth Family Chiropractic)
• Jerad Barth, D.C.
• Jeanne K Batcheller, ARNP
• Makenzie Lynn Bates
• Jordan Lynn Bauer
• Mitchel D Bauman, MD
• Danielle Beach
• Nicholas C. Bechtold, D.O.
• Patrick B Beck, MD
• Jeanna Becker, PT

• Psychiatric/Mental Health Nurse Practitioner in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.