Individual provider Active NPI

Monica A Bayer, RNC, OGNP

  • Women's Health Nurse Practitioner
  • Eagan, MN
National Provider Identifier
1750343687
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
189 Issued in MN
Practice address
2805 Dodd Rd Ste 100
Eagan, MN 55121-2160
Phone
(651) 241-7733
Fax
(651) 241-0258
NPI assigned
Apr 5, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R1186509 MN
Women's Health Nurse Practitioner 363LW0102X 189 MN Primary

Addresses

Primary practice location

2805 Dodd Rd Ste 100
Eagan, MN 55121-2160

Mailing address

2805 Dodd Rd Ste 100
Eagan, MN 55121-2160
Phone (651) 241-7733

Other identifiers 2

IdentifierTypeStateIssuer
213525600MedicaidMN
978824700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R1186509MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System PastSince Jan 22, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1750343687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 DODD RD STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212160",
            "telephone_number": "651-241-7733",
            "fax_number": "651-241-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 DODD RD STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212160",
            "telephone_number": "651-241-7733",
            "fax_number": "651-241-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER",
        "first_name": "MONICA",
        "middle_name": "A",
        "credential": "RNC, OGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R1186509",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213525600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "978824700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.