Individual provider Active NPI

Sean G Bayer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1992495113
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025071 Issued in CA
Practice address
19955 Danielle Way
Apple Valley, CA 92308-5334
Phone
(760) 927-2847
NPI assigned
May 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025071 CA Primary

Addresses

Primary practice location

19955 Danielle Way
Apple Valley, CA 92308-5334

Mailing address

19955 Danielle Way
Apple Valley, CA 92308-5334
Phone (760) 927-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230817000073 CA Practitioner - Nurse Practitioner 2264894658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

2372 Sterling Ave
San Bernardino, CA 92404-4624
Phone (909) 887-6222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Jul 19, 2023 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Jul 19, 2023 Accepting new patients
Inland Psychiatric Medical Group Inc Psychiatric/Mental Health PastSince Jul 31, 2023 Accepting new patients

Locations

16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

17310 Bear Valley Rd
Ste B101
Victorville, CA 92395
Phone (760) 660-6798

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1992495113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19955 DANIELLE WAY",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085334",
            "telephone_number": "760-927-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19955 DANIELLE WAY",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085334",
            "telephone_number": "760-927-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER",
        "first_name": "SEAN",
        "middle_name": "G",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.