Susan M Bauer, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

063861 Issued in MO

Practice address

205 Portland St
Columbia, MO 65201-6521

Phone

(573) 884-6052

Fax

(573) 884-1151

NPI assigned

Aug 5, 2006

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

Other identifiers 2

Other names 1

• Susan M Mehlenbeck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1407865033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PORTLAND ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016521",
            "telephone_number": "573-884-6052",
            "fax_number": "573-884-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "063861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425295409",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "455963",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MEHLENBECK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip A. Batson, D.D.S.
• Kelly Gail Batton, DNP. FNP-BC
• Barbara G Bauer, PH.D.
• Byron Cris Bauer Jr., FNP-C
• Karen E. Bauer
• Prudence Jane Baugher, PA-C
• Abigail Grace Baughman
• John Richard Baumann
• Wena Angulo Bautista, P.T.
• Chirag Pankajkumar Bavishi, M.D., M.P.H.

• Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.