SUSAN F BAUMAN (NPI# 1114906120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114906120 |
| Entity Type | Individual |
| Full Name | SUSAN F BAUMAN |
| Credential | RN NP |
| Practice Address |
1230 E Main St Mankato Clinic At Main Street Mankato MN 56001-5066 |
| Mailing Address |
1230 E Main St Po Box 8674 Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Practice Fax Number | 5076251878 |
| Mailing Telephone | 5076251811 |
| Mailing Fax Number | 5076251878 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R0743451 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 03A64BA | 01 |
| MN | UCARE | 124709 | 01 |
| MN | 599214100 | 05 | |
| MN | PREFERRED ONE | NA2951023871 | 01 |
| CHAMPUS | 41084933956001C158 | 01 | |
| IA | 938480 | 05 | |
| MN | HEALTH PARTNERS | HP40993 | 01 |
| MN | MEDICA | 0401492 | 01 |
| RR MEDICARE | 500004161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912422544 | Susan Kay Bauman | Non-emergency Medical Transport (VAN) | 3805 17th Ave Nw, Rochester, MN 55901-1373 | 2017-08-04 |
| 1104003847 | Susan Bauman | Social Worker | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 | 2008-01-24 |
| 1861415382 | Susan L Bauman | Physician Assistant | 780 Kuenzli St, 202, Reno, NV 89502-0845 | 2006-07-25 |
| 1285123687 | Susan Bauman | Counselor | 100 Glen Cove Ave, Glen Cove, NY 11542-2818 | 2018-05-02 |
| 1720375710 | Susan Marie Bauman | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2011-06-29 |
| 1407820475 | Susan M Bauman | Family Medicine | 200 Frenchtown Road, Milford, NJ 08848-1329 | 2006-02-15 |
| Street Address |
1230 E MAIN ST MANKATO CLINIC AT MAIN STREET |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325173 | Kimberly A Aho | Psychiatry & Neurology | 1230 E Main St, Mankato, MN 56001-5066 | 2005-06-08 |
| 1699381418 | Emily Anna Potter | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-5066 | 2020-09-17 |
| 1699233965 | Zachary Joel Stevens | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2019-03-06 |
| 1033674288 | Season Marie Hoffman | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-8001 | 2019-02-01 |
| 1912471665 | Abby Jo Tibodeau | Dietitian, Registered | 1230 E Main St, Mankato, MN 56001-5066 | 2019-01-16 |
| 1154800886 | Travis Mattson | Physical Therapist | 1230 E Main St, Mankato, MN 56001-8001 | 2018-08-13 |
| 1801383955 | Nathan Evers | Pharmacist | 1230 E Main St, Mankato, MN 56001-5066 | 2018-04-15 |
| 1942704945 | Jennifer Sue Marble | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-23 |
| 1669976742 | Brooke Renee Long | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-22 |
| 1245740463 | Galen Mary Hilgendorf | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217209 | Erin E Bissonnette | Nurse Practitioner | 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2005-10-04 |
| 1134765233 | Kay S Williams | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-23 |
| 1871138263 | Sydney Mcinnis | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-09 |
| 1891345369 | Matthew Joseph Perri | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-17 |
| 1013576594 | Omar G Ferrer | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001 | 2019-06-10 |
| 1225591357 | Amanda Logan | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-04-06 |
| 1023581790 | Laura Renee Fisher | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-01-06 |
| 1790266963 | Brittany Kosinski | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2018-08-27 |
| 1295213650 | Stacy Marie Blank | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2018-07-29 |
| 1619480092 | Justin Jaspers | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2017-11-08 |
| Find all providers in MANKATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.