Jaclyn Diane Bauer, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-75221-041 Issued in KS

Practice address

7301 E Frontage Rd Ste 100
Merriam, KS 66204-1668

Phone

(913) 384-4040

Fax

(913) 384-4093

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Nurse Practitioner

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.

• Adventhealth Ransom Memorial, Inc.

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1407319957
  Medicare reassignment NPD
• Adventhealth Ransom Memorial, Inc.

  • Rural Health Clinic/Center
  • Ottawa, KS
  • NPI 1558824805
  NPD

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1326358557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041668",
            "telephone_number": "913-384-4040",
            "fax_number": "913-384-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041668",
            "telephone_number": "913-384-4040",
            "fax_number": "913-384-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JACLYN",
        "middle_name": "DIANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75221-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla J Barnard, M.D.
• Angela Lee Barnes, PTA
• Lori Ann Barr, CPTA
• Sharon Barr, COTA/L
• Christopher Jay Bauer, PT, DPT
• Curtis Daniel Beall
• Kayla Beashore, DO
• Kerry Susanne Beck, RN
• Jennifer Kay Bedell, DPT
• Walter Broderick Beeson, PT, DPT

• Nurse Practitioner in Merriam, KS
• Providers in Merriam, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.