Individual provider Active NPI

Julie Ann Bauer, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1255749719
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5712 Issued in AZ
Practice address
8841 E Bell Rd Ste 201
Scottsdale, AZ 85260-1984
Phone
(480) 398-1550
Fax
(480) 398-1551
NPI assigned
Jul 29, 2014
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 5712 AZ Primary

Addresses

Primary practice location

8841 E Bell Rd Ste 201
Scottsdale, AZ 85260-1984

Mailing address

8841 E Bell Rd Ste 201
Scottsdale, AZ 85260-1984
Phone (480) 398-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150122001110 AZ Practitioner - Physician Assistant 3072837061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brenda Latowsky M.D. P.L.C.Group PAC ID 3678741626, 11 clinicians

Practice addresses (Care Compare)

20201 N Scottsdale Healthcare Dr
Suite 260
Scottsdale, AZ 85255-4140
Phone (480) 398-1550

8841 E Bell Rd
Suite 201
Scottsdale, AZ 85260-1984
Phone (480) 398-1550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5712AZMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1255749719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 E BELL RD STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601984",
            "telephone_number": "480-398-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 E BELL RD STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601984",
            "telephone_number": "480-398-1550",
            "fax_number": "480-398-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.