Active NPI
Robert Lee Bauer, CRNA
- Certified Registered Nurse Anesthetist
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 061447
- Practice address
- 319 S Silver Springs Road
Suite a
Cape Girardeau, MO 63703 - Phone
- (573) 339-7185
- Fax
- (573) 339-1079
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 061447 | MO | Primary |
Addresses
Primary practice location
319 S Silver Springs Road
Suite a
Cape Girardeau, MO 63703
Mailing address
501 Cloverdale Ranch Rd
Cape Girardeau, MO 63701-3443
Phone (573) 335-5294
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1771 | Other | BCBS | |
| 912967411 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63703-4902
Phone (573) 332-7881
319 S Silver Springs Rd
Suite a
Cape Girardeau, MO 63703-6308
Phone (573) 339-7185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061447 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Cross Medical Services Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Auburn Surgery Center Inc | Current | Accepting new patients | |
| ASC Anesthesia LLC | Current | Accepting new patients | |
| Auburn Surgery Center Inc. | Current | Accepting new patients |
Locations
300 S Mount Auburn Rd
Ste 200
Cpe Girardeau, MO 63703
Phone (573) 332-7881
319 S Silver Springs Rd
Ste A
Cpe Girardeau, MO 63703
Phone (573) 339-7185
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.
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1740873033
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1023015468
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Cape Girardeau, MO
- NPI 1265431670
-
- Ambulatory Surgical Clinic/Center
- Cape Girardeau, MO
- NPI 1043760184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1699714337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 CLOVERDALE RANCH RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013443",
"telephone_number": "573-335-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S SILVER SPRINGS ROAD",
"address_2": "SUITE A",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-339-7185",
"fax_number": "573-339-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "061447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1771",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "912967411",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.