Erica Haedrich Bauer, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56202 Issued in CA

Practice address

20641 Commerce Way
Burney, CA 96013-4380

Phone

(530) 335-6070

Fax

(530) 338-3368

NPI assigned

Oct 29, 2018

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erica Marie Haedrich Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1205303229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44172 WALNUT ST",
            "city": "MCARTHUR",
            "state": "CA",
            "postal_code": "960568560",
            "telephone_number": "530-717-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20641 COMMERCE WAY",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134380",
            "telephone_number": "530-335-6070",
            "fax_number": "530-338-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43563 Hwy 299",
            "address_purpose": "LOCATION",
            "city": "Fall River Mills",
            "state": "CA",
            "postal_code": "96028",
            "country_code": "US",
            "telephone_number": "530-336-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ERICA",
        "middle_name": "HAEDRICH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "56202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "HAEDRICH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Akas, NP
• Aaron C Babb, MD
• Jessee Rachael Baldwin, RDH
• Bobetta Jeanne Berthelsen, MD
• Barbara Diane Burks, LMFT
• Burney Fire District (Burney Fire Protection District)
• Daneece Michelle Byrum, R.N.
• Seoyoung Choi

• Family Medicine Physician in Burney, CA
• Providers in Burney, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.