Individual provider Active NPI

Cory Richard Baum

  • Certified Registered Nurse Anesthetist
  • Dubuque, IA
National Provider Identifier
1821664582
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D168879 Issued in IA
Practice address
3388 Kennedy Cir Ste F
Dubuque, IA 52002-3903
Phone
(563) 556-8332
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D168879 IA Primary
Registered Nurse 163W00000X 252750 SC

Addresses

Primary practice location

3388 Kennedy Cir Ste F
Dubuque, IA 52002-3903

Mailing address

2236 Indy Dr
Asbury, IA 52002-8218
Phone (636) 346-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, UT, WY, CO, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220801001242 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729460258 Reassigns benefits to 1 organization
I20230613003331 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729460258 Reassigns benefits to 3 organizations
I20241104002026 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729460258 Reassigns benefits to 1 organization
I20241119003522 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729460258 Reassigns benefits to 1 organization
I20260619001186 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729460258

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians
San Juan County HospitalGroup PAC ID 4486541851, shared by 5 NPIs, 19 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 584-8000

380 W 100
Monticello, UT 84535-0308
Phone (435) 587-2116

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252750SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Surgical Hospital, LLC CurrentSince Dec 1, 2024 Accepting new patients
Medical Associates Clinic P C CurrentSince Jan 1, 2024 Accepting new patients
Sevier Valley Anesthesia Group, LLP Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Durango Surgery Center LLC CurrentSince Dec 1, 2024 Accepting new patients
San Juan County Hospital CurrentSince Mar 14, 2024 Accepting new patients
San Juan County Hospital Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Animas Surgical Hospital, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District, CurrentSince Nov 1, 2024 Accepting new patients
San Juan County Hospital CurrentSince Nov 24, 2025 Accepting new patients
Campbell County Hospital District CurrentSince Nov 1, 2024 Accepting new patients
San Juan County Hospital Past Accepting new patients

Locations

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1821664582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 INDY DR",
            "city": "ASBURY",
            "state": "IA",
            "postal_code": "520028218",
            "telephone_number": "636-346-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 KENNEDY CIR STE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023903",
            "telephone_number": "563-556-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "CORY",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D168879",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "252750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.