Individual provider Active NPI

Trudy L Bauer, CRNP

  • Primary Care Nurse Practitioner
  • Oxford, PA
National Provider Identifier
1639179641
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
UP006621B Issued in PA
Practice address
620 Spear St
Oxford, PA 19363-1655
Phone
(610) 932-9300
Fax
(610) 932-5283
NPI assigned
Aug 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X UP006621B PA Primary

Addresses

Primary practice location

620 Spear St
Oxford, PA 19363-1655

Mailing address

620 Spear St
Oxford, PA 19363-1655
Phone (610) 932-9300

Other names 1

  • Trudy L Kunes Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050812000387 PA Practitioner - Nurse Practitioner 3577593268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1605 Lititz Pike
Lancaster, PA 17601-6507
Phone (717) 735-3995

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP006621BPAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Jun 22, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Jun 22, 2015 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

955 E King St
Lancaster, PA 17602
Phone (717) 394-8908

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

Interoperability endpoints

  • Direct secure messaging: tbauercrnp121884@direct-lghealth.org

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1639179641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SPEAR ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631655",
            "telephone_number": "610-932-9300",
            "fax_number": "610-932-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SPEAR ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631655",
            "telephone_number": "610-932-9300",
            "fax_number": "610-932-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "TRUDY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "UP006621B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUDY",
            "last_name": "KUNES",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, PA

Sources for this page

Verify at the official NPI Registry.