Individual provider Active NPI

Allison Leigh Delisle Bauer, NP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1740685635
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020760 Issued in PA
Practice address
1240 S Cedar Crest Blvd Ste 308
Allentown, PA 18103-6370
Phone
(106) 402-1350
Fax
(610) 402-9799
NPI assigned
Nov 4, 2014
Last updated
May 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19081 TN
Family Nurse Practitioner 363LF0000X SP020760 PA Primary

Addresses

Primary practice location

1240 S Cedar Crest Blvd Ste 308
Allentown, PA 18103-6370

Mailing address

1815 Pearl St
Nashville, TN 37203-2880
Phone (256) 426-5050

Other names 1

  • Allison L Delisle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601002497 PA Practitioner - Nurse Practitioner 1850601923 Reassigns benefits to 1 organization
I20210804003091 TN Practitioner - Nurse Practitioner 1850601923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 370
Nashville, TN 37207-2535
Phone (615) 769-2799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020760PAMDFamily Nurse Practitioner
19081TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 1, 2020 Accepting new patients
Skyline Medical Group LLC Family CurrentSince Nov 14, 2023 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 1, 2020 Accepting new patients

Locations

1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 370
Nashville, TN 37207
Phone (615) 769-2799

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1740685635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PEARL ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032880",
            "telephone_number": "256-426-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD STE 308",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036370",
            "telephone_number": "106-402-1350",
            "fax_number": "610-402-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ALLISON",
        "middle_name": "LEIGH DELISLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "DELISLE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.