Individual provider Active NPI

Maryann Cynthia Bauer, NP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1619622115
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1059314 Issued in TX
Practice address
5414 Fredericksburg Rd Ste 100a
San Antonio, TX 78229-3641
Phone
(210) 468-0800
Fax
(210) 733-8649
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1059314 TX Primary

Addresses

Primary practice location

5414 Fredericksburg Rd Ste 100a
San Antonio, TX 78229-3641

Mailing address

1131 SE Military Dr
Ste 117
San Antonio, TX 78214-2876
Phone (210) 602-8984

Other practice location 1

1131 SE Military Dr Ste 117
San Antonio, TX 78214-2876
Phone (210) 924-8146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220310000024 TX Practitioner - Nurse Practitioner 7416342456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78229
Phone (210) 468-0800

Hospital & facility affiliations

  • Alpine Care Home Health Home health agency, San Antonio, TX, CCN 747021
  • Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174
  • Elara Caring Home health agency, San Antonio, TX, CCN 679275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Nov 1, 2024 Accepting new patients
Mmcare - Hospice LLC CurrentSince Jan 29, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 1, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients

Locations

404 E Ramsey Rd
Ste 204
San Antonio, TX 78216
Phone (210) 462-1060

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Interoperability endpoints

  • Direct secure messaging: maryann.bauer.1@32913.direct.athenahealth.com

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1619622115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SE MILITARY DR",
            "address_2": "STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142876",
            "telephone_number": "210-602-8984",
            "fax_number": "210-675-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD STE 100A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293641",
            "telephone_number": "210-468-0800",
            "fax_number": "210-733-8649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 SE Military Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782142876",
            "country_code": "US",
            "telephone_number": "210-924-8146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MARYANN",
        "middle_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.