Angela Michelle Bauer, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003476A Issued in IN

Practice address

11143 Parkview Plaza Dr
Suite 311
Fort Wayne, IN 46845-1727

Phone

(260) 482-3886

Fax

(260) 482-1910

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1497058812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11143 PARKVIEW PLAZA DR",
            "address_2": "SUITE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451727",
            "telephone_number": "260-482-3886",
            "fax_number": "260-482-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11143 PARKVIEW PLAZA DR",
            "address_2": "SUITE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451727",
            "telephone_number": "260-482-3886",
            "fax_number": "260-482-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28147233A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003476A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Bates
• Corinne N Bates, LMHC
• Jeffrey Max Batesole, D.D.S
• Ravindra Bathina, M.D.
• Krista N Battell, BSW
• Daniel L Bauer, CRNA
• Erin Leah Bauer, PA
• Halle Bauer
• Jarred William Bauer, MA
• Leigh F Bauer, D.O.

• Family Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.