JACQUELYN P BAUER C.R.N.P.
NPI 1124010004
Nurse Practitioner - Pediatrics in Cumberland, MD

NPI Status: Active since August 17, 2005

Contact Information

500 GREENE ST
CUMBERLAND, MD
ZIP 21502
Phone: (301) 724-7616
Fax: (301) 724-4811

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics
  • PECOS Enrolled

About JACQUELYN BAUER

This page provides the complete NPI Profile along with additional information for Jacquelyn Bauer, a provider established in Cumberland, Maryland with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1124010004 assigned on August 2005. The practitioner's primary taxonomy code is 363LP0200X with license number R110105 (MD). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1124010004
Provider Name
JACQUELYN P BAUER C.R.N.P.
Gender
Female
Entity Type
Individual
Location Address
500 GREENE ST CUMBERLAND, MD 21502
Location Phone
(301) 724-7616
Location Fax
(301) 724-4811
Mailing Address
13210 GROWDENVALE DR NE CUMBERLAND, MD 21502
Mailing Phone
(301) 724-7616
Mailing Fax
(301) 724-4811
Is Sole Proprietor?
No
Enumeration Date
08-17-2005
Last Update Date
08-03-2022
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A nurse practitioner (NP) like Jacquelyn Bauer is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1701 Innovation Dr
    York, PA 17408
    (717) 850-4040
  • 12500 Willowbrook Rd
    Cumberland, MD 21502
    (240) 964-7000
  • 7601 Osler Dr
    Towson, MD 21204
    (410) 337-1150

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R110105
License State
MD

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LN0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Neonatal

R110105 (MD)
2363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

SP018623 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
103470021MEDICAID (05)PA 
126751500MEDICAID (05)MD 
0167161000MEDICAID (05)WV 

Medicare Participation & PECOS Enrollment Status

Jacquelyn Bauer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21502 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.75
  • Minimum New Patient Price $57.99
  • Maximum New Patient Price $175.57
  • Average New Patient Copayment $22.43
  • Minimum New Patient Copayment $14.49
  • Maximum New Patient Copayment $43.89

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.11
  • Minimum Established Patient Price $18.66
  • Maximum Established Patient Price $143.02
  • Average Established Patient Copayment $25.52
  • Minimum Established Patient Copayment $4.66
  • Maximum Established Patient Copayment $35.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JACQUELYN P BAUER C.R.N.P.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124010004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214401000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 0 + 0 + 0 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1124010004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528165750CHILDREN'S MEDICAL GROUP, P.A.
Organization
Specialist500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1023010436 SUSAN M NUBER M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1437151867 ROBERT J DAWSON M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1043212459 MICHAEL LEVITAS M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1750383162 DEBRA B HURTT M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1619979051 RODNEY A WILLIAMS M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1184616062 BYRON A HAWORTH D.O.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1275525164 RANDALL A STROUP P.A.C.
Individual
Physician Assistant500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1851383749 KANDY FINK LEVASSEUR C.R.N.P.
Individual
Nurse Practitioner (Pediatrics)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1669086880CHILDREN'S MEDICAL GROUP, P.A.
Organization
Psychologist (Clinical)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1902398662 SORIAYAH MARIE ZAGHAB-MATHEWS MD
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1568987840MRS. NIKKOLE AMANDA REAMS CRNP
Individual
Nurse Practitioner (Pediatrics)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124010004, enumerated in the NPI registry as an "individual" on August 17, 2005

The provider is located at 500 Greene St Cumberland, Md 21502 and the phone number is (301) 724-7616

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $102.11 and an average copayment of 25.52. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.