Individual provider Active NPI

Robert Lee Bauer, CRNA

  • Certified Registered Nurse Anesthetist
  • Cape Girardeau, MO
National Provider Identifier
1699714337
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
061447 Issued in MO
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

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1771OtherBCBS
912967411MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000707 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395842660 Reassigns benefits to 3 organizations

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
ASC Anesthesia LLCGroup PAC ID 4789099896, 4 clinicians
Southern Cross Medical Services IncGroup PAC ID 9638342942, 3 clinicians

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

LicenseStateTypeSpecialty
061447MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Cross Medical Services Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2016 Accepting new patients
Auburn Surgery Center Inc CurrentSince Apr 11, 2025 Accepting new patients
ASC Anesthesia LLC CurrentSince Apr 1, 2022 Accepting new patients
Auburn Surgery Center Inc. CurrentSince Apr 11, 2025 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.

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.

Verify at the official NPI Registry.