Active NPI
Robert L Bauer, APRN
- Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3012857
- Practice address
- 1101 Professional Blvd
Evansville, IN 47714-8016 - Phone
- (812) 477-7246
- NPI assigned
- Oct 3, 2018
- Last updated
- Jul 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3012857 | KY | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 3012857 | KY | |
| Registered Nurse | 163W00000X | 1153069 | KY |
Addresses
Primary practice location
1101 Professional Blvd
Evansville, IN 47714-8016
Mailing address
67 Lakeview Dr
Paducah, KY 42001-5619
Phone (270) 554-8373
Other practice location 1
200 Clinic Dr Fl 6
Madisonville, KY 42431-1661
Phone (812) 477-7246
Other practice location 2
67 Lakeview Dr
Paducah, KY 42001-5619
Phone (270) 554-8373
Other practice location 3
3332 Villa Pt Ste 104
Owensboro, KY 42303-7818
Phone (812) 477-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100570380 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbauer92081@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1101 Professional Blvd
Suite 100
Evansville, IN 47714-8018
Phone (812) 477-7246
200 Clinic Dr
FL 3
Madisonville, KY 42431-1661
Phone (812) 477-7246
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1153069 | KY | MD | Registered Nurse |
| 3012857 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Centers of America, PSC | Current | Accepting new patients |
Locations
1101 Professional Blvd
Evansville, IN 47714
Phone 81247772461041
1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207
1425 State St
Ste 210
New Albany, IN 47150
Phone (812) 949-1002
200 Clinic Dr
Fl 3
Madisonville, KY 42431
Phone (270) 825-7214
3332 Villa Pt
Ste 104
Owensboro, KY 42303
Phone (270) 594-4892
67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373
Interoperability endpoints
- rbauer@pmcoap-in.direct.office.nextgen.com
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.
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1992271811
KY
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Daviess Community Hospital Women's Health Center
- Gynecology Physician
- Washington, IN
- NPI 1275482648
Hospital
-
dba Washington Surgical Associates
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1275745002
Hospital
-
dba DCH Diabetes & Endocrinology Clinic
- Endocrinology, Diabetes & Metabolism Physician
- Washington, IN
- NPI 1629337589
Hospital
-
dba Daviess Community Hospital
- General Acute Care Hospital
- Washington, IN
- NPI 1861465999
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Ascension St. Vincent Warrick
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1275018459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 LAKEVIEW DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420015619",
"telephone_number": "270-554-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148016",
"telephone_number": "812-477-7246"
}
],
"practiceLocations": [
{
"address_1": "200 Clinic Dr Fl 6",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424311661",
"country_code": "US",
"telephone_number": "812-477-7246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "67 Lakeview Dr",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420015619",
"country_code": "US",
"telephone_number": "270-554-8373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3332 Villa Pt Ste 104",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423037818",
"country_code": "US",
"telephone_number": "812-477-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUER",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3012857",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "3012857",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1153069",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100570380",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbauer92081@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1301 Pleasant Valley Rd Ste 201",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423039774",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
- 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.