Alisha Bauman, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12334 Issued in MN

Practice address

992 Inwood Ave N
Oakdale, MN 55128-6625

Phone

(612) 842-9814

NPI assigned

Dec 4, 2024

Last updated

Jan 7, 2025By the provider in NPPES

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

Enrolled in MN

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optimal Brain MN PLLCGroup PAC ID 6709317787, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

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.

• Optimal Brain MN, PLLC

  • Clinical Psychologist
  • Oakdale, MN
  • NPI 1609614957
  Medicare reassignment Care Compare group NPD
• Integrative Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakdale, MN
  • NPI 1396314654
  Medicare reassignment NPD

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1891501912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 152ND LN NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034410",
            "telephone_number": "763-772-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 INWOOD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286625",
            "telephone_number": "612-842-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Village Center Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "North Oaks",
            "state": "MN",
            "postal_code": "551273004",
            "country_code": "US",
            "telephone_number": "612-842-9814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7320 152nd Ln NW",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "MN",
            "postal_code": "553034410",
            "country_code": "US",
            "telephone_number": "763-772-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "ALISHA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Barker
• Barrett Chiropractic Center LTD
• Daniel Thomas Barrett, D.C.
• Hamza Mohamed Bashir
• Heather Anne Bateman
• Clare Beardsley, LPCC
• Pamela J Becker, LICSW
• Melissa Bedor
• Therese Mary Behnke, OTRL
• Tricia L Bender, BA

• Psychiatric/Mental Health Nurse Practitioner in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.
• 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.