Hollie Bauman, CRNP
Individual provider Active NPI Critical Care Medicine Registered Nurse · Madison, TN
NPI 1477034775 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1477034775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- RN9504624 (FL)
- Practice address
- 315 Hospital Dr
Madison, TN 37115-5030 - Phone
- (615) 732-7662
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9504624 | FL | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11001514 | FL | |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9504624 | FL | Yes |
Addresses
Primary practice location
315 Hospital Dr
Madison, TN 37115-5030
Mailing address
315 Hospital Dr
Madison, TN 37115-5030
Other practice location 1
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP019096 | Other | PA | PENNSYLVANIA |
| PENDING | Other | FL | MEDICARE HF |
| 103196000 | Medicaid | FL |
Other providers in Madison, TN
- Abigail Marie Baricevich
- Deana Barlow
- Julie Barnes
- Beverly Towns Barron
- Jessica Bassett
- Angelica Ian Cabrera Bautista
- Irene Bean
- Thomasa E Bean
- Alanna Lumar Beane
- Kelli Danielle Beard
All providers in Madison, TN · Critical Care Medicine Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.