Individual provider Active NPI

Robert L Bauer, APRN

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1275018459
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012857 Issued in KY
Practice address
1101 Professional Blvd
Evansville, IN 47714-8016
Phone
(812) 477-7246
NPI assigned
Oct 3, 2018
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100570380MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbauer92081@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20201202001980 IN Practitioner - Nurse Practitioner 4082657796 Reassigns benefits to 1 organization
I20230802001814 KY Practitioner - Nurse Practitioner 4082657796 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1153069KYMDRegistered Nurse
3012857KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of America, PSC CurrentSince Jul 19, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.