Active NPI
Kristin Coil Bauman, CRNA
- Certified Registered Nurse Anesthetist
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704251214
- 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, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396992533 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 593665 | CA | MD | Registered Nurse |
| 4704251214 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Alma, MI
- NPI 1568125177
Nurse Anesthetist, Certified Registered
-
dba Munson Healthcare Cadillac Anesthesia
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
dba Covenant Healthcare
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1225151897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1457306185
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
-
dba Ascension Medical Group Riverfront Cardiology
- Cardiovascular Disease Physician
- Saginaw, MI
- NPI 1467736132
-
dba Munson Healthcare Cadillac Surgical Services
- Surgery Physician
- Cadillac, MI
- NPI 1336547041
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
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.