Samantha K Bauer
Individual provider Active NPI Family Nurse Practitioner · Powell, TN
NPI 1972147908 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1972147908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 29890 (TN)
- Practice address
- 201 E Emory Rd
Powell, TN 37849-4016 - Phone
- (659) 383-6278
- Fax
- (833) 908-2166
- NPI assigned
- Nov 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Skin Envy Wayne LLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Summit Medical Group PLLC | Past |
Accepting new patients |
Locations
3140 E Elk Ln
Ste 600
Fremont, NE 68025
Phone (402) 720-8691
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
201 E Emory Rd
Powell, TN 37849
Phone (865) 938-3627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29890 | TN | Yes |
Addresses
Primary practice location
201 E Emory Rd
Powell, TN 37849-4016
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747
Other providers in Powell, TN
- Micah Joel Barnwell
- Freddie Thomas Barron
- Laura J. Barron
- Ronald P Barton
- Sydney Alexandra Basler
- Andrew R. Bejarano
- Mohamed Ghit Benlamin
- Amy E Bentley
- Stewart H Bernard
- Jennifer L Berry
All providers in Powell, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.