Mary C Bauer, RN, MSN, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2012032346 Issued in MO

Practice address

225 S Meramec Ave Ste 409
Clayton, MO 63105-3511

Phone

(314) 556-0009

Fax

(314) 492-0095

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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 and National Provider Directory roles.

• Success Health System, LLC

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1508310293

  KS, MO

  Medicare reassignment NPD
• Mental Health Specialty Group KS, P.a.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Wichita, KS
  • NPI 1063282390

  KS

  Medicare reassignment NPD
• Gavini Medical Group,LTD

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1912014606
  NPD (past)
• Leeker Enterprises Inc

  • Clinical Social Worker
  • Kennett, MO
  • NPI 1932506524
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1427006337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 WYNFIELD TERRACE DR",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-518-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE STE 409",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-556-0009",
            "fax_number": "314-492-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "069486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2012032346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Balestra, LPC, M.ED, NCC
• Megan Elizabeth Ballor
• Karen Banks, M.ED., PLPC
• Heather Barcroft, LPC
• Franchon Barnes, RN
• Jean S Beck, APRN
• Laura T Becker, PH.D.
• Trisha Ann Becker, PT, DPT, MHS, OCS
• Lee Peter Bee, D.O., F.A.C.O.I.
• Cynthia D Benedict

• All providers in Clayton, MO
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.