Matthew Lee Bauer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60506981 Issued in WA

Practice address

435 W Walnut St
Newport, WA 99156-9033

Phone

(509) 935-6004

NPI assigned

Oct 30, 2014

Last updated

Mar 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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 ID, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.bauer.1@18424.direct.athenahealth.com
• Direct secure messaging: matthew.bauer.p1@direct.kch.nextgenshare.com

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.

• Boundary Regional Community Health Center, Inc.

  dba Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Priest River, ID
  • NPI 1538447727

  Family Medicine

  Medicare reassignment NPD
• New Health Programs Association

  dba NEW Health Chewelah Medical

  • Federally Qualified Health Center (FQHC)
  • Chewelah, WA
  • NPI 1679537575
  Medicare reassignment
• New Health Programs Association

  dba NEW Health Colville Medical

  • Federally Qualified Health Center (FQHC)
  • Colville, WA
  • NPI 1275938672
  NPD
• Boundary Regional Community Health Center Inc

  dba Kaniksu Community Health

  • Community/Retail Pharmacy
  • Sandpoint, ID
  • NPI 1780349241
  NPD

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1932504131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090808",
            "telephone_number": "509-935-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W WALNUT ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569033",
            "telephone_number": "509-935-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60506981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Alliger
• Denise Anderson, R.N.
• Donna Anderson
• Nancy M Ashburn, MED
• Eve Bacon, RPH
• Benedict Beam, PAC
• Mercedes Krystal Bekke, DOULA CERTIFICATION
• Keith E Bell, PAC
• Betty Berkhousen, LMP
• Bonnie D Bliss, DC

• Physician Assistant in Newport, WA
• Providers in Newport, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.