Active NPI
Louella Bauman, FNP-BC
- Family Nurse Practitioner
- Prescott Valley, AZ
National Provider Identifier
1699166199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7624
- Practice address
- 7750 E Florentine Rd Ste a
Prescott Valley, AZ 86314-2245 - Phone
- (928) 277-1211
- Fax
- (928) 277-1239
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7750 E Florentine Rd
Suite a
Prescott Valley, AZ 86314-2245
Phone (928) 277-1211
Hospital & facility affiliations
- Yavapai Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 77.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.24
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150429002343 | AZ | Practitioner - Nurse Practitioner | 6901125756 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP7624 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Family Medical PLLC | Family | Current | Accepting new patients |
Locations
7750 E Florentine Rd
#A
Prescott Vly, AZ 86314
Phone (928) 277-1211
Interoperability endpoints
- https://api.platform.athenahealth.com/26248/brand/1/csg/1/fhir/r4
- louella.bauman.1@26248.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7624 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | TAP7624 | AZ |
Addresses
NPPES NPI RegistryPrimary practice location
7750 E Florentine Rd Ste a
Prescott Valley, AZ 86314-2245
Mailing address
7750 E Florentine Rd Ste a
Prescott Valley, AZ 86314-2245
Phone (928) 277-1211
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146029 | Medicaid | AZ |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | louella@yavmedical.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2022.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1699166199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7750 E FLORENTINE RD STE A",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142245",
"telephone_number": "928-277-1211",
"fax_number": "928-277-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 E FLORENTINE RD STE A",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142245",
"telephone_number": "928-277-1211",
"fax_number": "928-277-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "LOUELLA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7624",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "TAP7624",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146029",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "louella@yavmedical.com",
"affiliation": "N",
"endpointDescription": "encrypted email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "7750 E Florentine Rd Ste A",
"city": "Prescott Valley",
"state": "AZ",
"country_code": "US",
"postal_code": "863142245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.