Active NPI
Blake Kyle Bauman, DNP, CRNA
- Certified Registered Nurse Anesthetist
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP136204
- Practice address
- 4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602 - Phone
- (469) 541-1600
- Fax
- (469) 541-1612
- NPI assigned
- Jan 12, 2018
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0004263-C-CRNA | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | AP136204 | TX | Primary |
Addresses
Primary practice location
4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602
Mailing address
906 W McDermott Dr # 116-371
Allen, TX 75013-6510
Phone (469) 541-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 Coit Rd
Suite 100
Frisco, TX 75035-0501
Phone (214) 619-0120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0004263-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
| AP136204 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185
Organizations & group practices 2
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.
-
- Specialist
- McKinney, TX
- NPI 1265469357
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1871001727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W MCDERMOTT DR # 116-371",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136510",
"telephone_number": "469-541-1600",
"fax_number": "469-541-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR STE 211",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691602",
"telephone_number": "469-541-1600",
"fax_number": "469-541-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "BLAKE",
"middle_name": "KYLE",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-12",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0004263-C-CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP136204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
- Kylie Nejuan Bates, DC
- Christy J Batson, BCBA
- Brittany Baucom
- Sanddrick JC Bauer, MSN, APRN, FNP-BC
- Deanna Baugh
- Coleen E Baur, PTA
- Baylor Medical Centers at Garland and McKinney (Baylor Scott & White Medical Center Transitional Care Clinic -McKinney)
- Baylor Regional Medical Center at Plano (Baylor Diagnostic Imaging Center -Craig Ranch)
- Baylor Scott & White Health Enterprises, Inc. (Baylor Scott & White Pharmacy #105)
- Baylor Scott & White Medical Centers - Greater North Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.