NPIMap

Kristine Katherine Bauer, PA

Individual provider Active NPI Surgical Physician Assistant · Montgomery, AL

NPI 1598476830 · NPPES record last updated Apr 5, 2023

Key facts

NPI
1598476830
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
2113 (AL)
Practice address
4160 Carmichael Rd
Montgomery, AL 36106-3638
Phone
(334) 747-7440
Fax
(334) 747-7449
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Authority for Baptist Health, an Affiliate of Uabhs (270 clinicians)

Practice addresses (Care Compare)

2055 E S Blvd
Montgomery, AL 36116-2002

2055 E S Blvd
Suite 308
Montgomery, AL 36116-2003
Phone (334) 747-2390

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-2987

4160 Carmichael Rd
Montgomery, AL 36106-3638
Phone (334) 747-7440

Hospital & facility affiliations

  • Baptist Medical Center South Hospital · Montgomery, AL · CCN 010023
  • Baptist Medical Center East Hospital · Montgomery, AL · CCN 010149

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100 (group)
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230202001169 AL Practitioner - Physician Assistant 1951773886 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Single Specialty Current
since Feb 1, 2023		 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs Current
since Feb 1, 2023		 Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients

Locations

4160 Carmichael Rd
Montgomery, AL 36106
Phone (205) 235-5121

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X SINGLE SPECIALTY GROUP		 390200000X
Surgical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 363AS0400X 2113 AL Yes

Addresses

Primary practice location

4160 Carmichael Rd
Montgomery, AL 36106-3638

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2023.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1598476830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063638",
            "telephone_number": "334-747-7440",
            "fax_number": "334-747-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KRISTINE",
        "middle_name": "KATHERINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

All providers in Montgomery, AL · Surgical Physician Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.