Individual provider Active NPI

Kristin Coil Bauman, CRNA

  • Certified Registered Nurse Anesthetist
  • Traverse City, MI
National Provider Identifier
1396992533
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704251214 Issued in MI
Practice address
4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331
Phone
(231) 935-5770
Fax
(231) 935-0747
NPI assigned
Aug 19, 2008
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704251214 MI Primary
Registered Nurse 163W00000X 4704251214 MI
Registered Nurse 163W00000X 593665 CA

Addresses

Primary practice location

4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331

Mailing address

4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331
Phone (231) 935-5770

Other practice location 1

225 N State St
Reed City, MI 49677-1089
Phone (616) 364-4200

Other practice location 2

605 Oak St
Big Rapids, MI 49307-2048
Phone (616) 364-4200

Other practice location 3

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7301

Other identifiers 1

IdentifierTypeStateIssuer
1396992533MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000480 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800959446 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monaco Management LLCGroup PAC ID 9739577461, 37 clinicians
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
593665CAMDRegistered Nurse
4704251214MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2021 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jun 4, 2021 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2025 Accepting new patients
Covenant Medical Center, Inc CurrentSince Jul 7, 2022 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jul 11, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 22, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Cadillac Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2022 Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients

Locations

3775 Momentum Pl
Chicago, IL 60689

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

225 N State St
Reed City, MI 49677
Phone (231) 832-7108

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

Organizations & group practices 12

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 3

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1396992533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 PARK FOREST DR",
            "address_2": "SUITE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847331",
            "telephone_number": "231-935-5770",
            "fax_number": "231-935-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PARK FOREST DR",
            "address_2": "SUITE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847331",
            "telephone_number": "231-935-5770",
            "fax_number": "231-935-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N State St",
            "address_purpose": "LOCATION",
            "city": "Reed City",
            "state": "MI",
            "postal_code": "496771089",
            "country_code": "US",
            "telephone_number": "616-364-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Oak St",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493072048",
            "country_code": "US",
            "telephone_number": "616-364-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "49601",
            "country_code": "US",
            "telephone_number": "231-876-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "KRISTIN",
        "middle_name": "COIL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704251214",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704251214",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "593665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396992533",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.