Active NPI
Agnes Elisabeth Bayer, CPNP
- Pediatric Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1831390772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2018011775
- Practice address
- 7387 Watson Rd
Saint Louis, MO 63119 - Phone
- (314) 500-5437
- Fax
- (314) 500-5683
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2018040896 | MO | |
| Registered Nurse | 163W00000X | 479405-1 | NY | |
| Nurse Practitioner | 363L00000X | 706774 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | F381465 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | AP124482 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 2018011775 | MO | Primary |
Addresses
Primary practice location
7387 Watson Rd
Saint Louis, MO 63119
Mailing address
7387 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 500-5437
Other practice location 1
2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01976989 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018040896 | MO | MD | Registered Nurse |
| 479405-1 | NY | MD | Registered Nurse |
| 706774 | TX | MD | Nurse Practitioner |
| 2018011775 | MO | MD | Pediatric Nurse Practitioner |
| F381465 | NY | MD | Pediatric Nurse Practitioner |
| AP124482 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Gianna Pediatrics, LLC | Past | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Shrewsbury, MO
- NPI 1053887612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1831390772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7387 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-500-5437",
"fax_number": "314-500-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7387 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63119",
"telephone_number": "314-500-5437",
"fax_number": "314-500-5683"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-724-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYER",
"first_name": "AGNES",
"middle_name": "ELISABETH",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018040896",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "479405-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "706774",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381465",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP124482",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2018011775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01976989",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.