Individual provider Active NPI

Mislen Stol Bauer, M.D.

  • Specialist
  • Miami, FL
National Provider Identifier
1447295217
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME41628 Issued in FL
Practice address
3100 SW 62ND Ave
1St Floor
Miami, FL 33155-3009
Phone
(305) 663-8595
Fax
(305) 669-6443
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME41628 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
1St Floor
Miami, FL 33155-3009

Mailing address

3100 SW 62ND Ave Ste 301
Miami, FL 33155-3009
Phone (305) 663-8595

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MIS21147@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220611000423 FL Practitioner - Medical Genetics and Genomics 0840678371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME41628FLMDSpecialist

Interoperability endpoints

  • Direct secure messaging: mis21147@cerner.directbaptisthealth.com
  • Direct secure messaging: mislen.bauer.1@27004.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1447295217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-663-8595",
            "fax_number": "305-669-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "1ST FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-663-8595",
            "fax_number": "305-669-6443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-2000",
            "fax_number": "305-279-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MISLEN",
        "middle_name": "STOL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME41628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MIS21147@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8900 N Kendall Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.