Lisa Bauer, C.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP003823B Issued in PA

Practice address

753 Johnsonburg Rd Ste 150
Saint Marys, PA 15857

Phone

(724) 349-8636

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Gwendolyn Akers DO PLLC

  • Nephrology Physician
  • Saint Marys, PA
  • NPI 1366108995
  Medicare reassignment NPD

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1568450435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "724-349-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 JOHNSONBURG RD STE 150",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "724-349-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ERPG Keystone Medical Associates",
            "address_2": "136 State Street",
            "address_purpose": "LOCATION",
            "city": "St Marys",
            "state": "PA",
            "postal_code": "158571626",
            "country_code": "US",
            "telephone_number": "814-781-6758",
            "fax_number": "814-834-1038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "ERPG Keystone Medical Associates",
            "address_2": "136 State Street",
            "address_purpose": "LOCATION",
            "city": "St Marys",
            "state": "PA",
            "postal_code": "158571626",
            "country_code": "US",
            "telephone_number": "814-781-6758",
            "fax_number": "814-834-1038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "LISA",
        "credential": "C.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP003823B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Murray Baker, M.D.
• Heather Bankovic, RPH
• Jennie Lynn Barr, CPHT
• Justin Lee Bauer, LCSW
• Kathryn Bauer
• Bauer'S All About Kids LLC
• Be Transformed Christian Counseling, Inc
• Molly A Beimel, PHARM.D.
• Tricia Ann Bell, MPT
• Lisa Benini

• Nurse Practitioner in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.