Individual provider Active NPI

Amanda Brooke Bauler, FNP-BC

  • Family Nurse Practitioner
  • Hancock, MD
National Provider Identifier
1235335829
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R229244 Issued in MD
Practice address
117 W Main St
Hancock, MD 21750-1416
Phone
(240) 738-0953
Fax
(301) 238-7386
NPI assigned
Jun 21, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R229244 MD Primary
Family Nurse Practitioner 363LF0000X 97594 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R229244 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 97594 WV

Addresses

Primary practice location

117 W Main St
Hancock, MD 21750-1416

Mailing address

PO Box 122
Hancock, MD 21750-0122
Phone (240) 738-0954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180110001991 MD Practitioner - Nurse Practitioner 2567510373 Reassigns benefits to 2 organizations
I20200602001574 WV Practitioner - Nurse Practitioner 2567510373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain View Wellness, LLCGroup PAC ID 1456701648, 2 clinicians

Practice addresses (Care Compare)

115 W Main St
Hancock, MD 21750-1416
Phone (240) 343-8134

117 W Main St
Hancock, MD 21750-1416
Phone (240) 738-0953

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R229244MDMDPsychiatric/Mental Health Nurse Practitioner
97594WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Wellness, LLC CurrentSince Oct 30, 2023 Accepting new patients
East Mountain Health Physicians Inc CurrentSince Apr 2, 2020 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Apr 2, 2020 Accepting new patients
Mountain View Psychiatry LLC Psychiatric/Mental Health CurrentSince Dec 26, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

115 W Main St
Hancock, MD 21750
Phone (240) 343-8134

117 W Main St
Hancock, MD 21750
Phone (240) 738-0953

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: amanda.bauler.1@30111.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1235335829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "HANCOCK",
            "state": "MD",
            "postal_code": "217500122",
            "telephone_number": "240-738-0954",
            "fax_number": "301-238-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "HANCOCK",
            "state": "MD",
            "postal_code": "217501416",
            "telephone_number": "240-738-0953",
            "fax_number": "301-238-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULER",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229244",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "97594",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R229244",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "97594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MD

Sources for this page

Verify at the official NPI Registry.