Patricia Bauer, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2014036830 Issued in MO

Practice address

16111 Manchester Rd Ste 202
Ellisville, MO 63011-2489

Phone

(636) 489-2000

Fax

(314) 779-2103

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Tatyana Petrosova, MD PC

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1700026515
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1770980468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 HIGHWAY 100",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630695829",
            "telephone_number": "618-218-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 MANCHESTER RD STE 202",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112489",
            "telephone_number": "636-489-2000",
            "fax_number": "314-779-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PATRICIA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014036830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard K Baker, DNP, NP-C
• Darlene Baldridge
• Melissa Rose Banyai-del Carmen, D.C.
• Benjamin Jason Barton, M.P.T
• Elizabeth G. Bates, SPEECH PATHOLOGIST
• Julie Becker
• Darrlyn Rochele Bell
• Bella Living LLC
• Marla Belogorodskiy
• Jordy E Berger

• Adult Health Nurse Practitioner in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.