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Jacquelyn P Bauer, C.R.N.P.

Pediatric Nurse Practitioner in Oakland, MD · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124010004

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Registry record

Entity type Individual (Type 1)
Name Jacquelyn P Bauer
Credential C.R.N.P.
Sex Female
Practice address 1027 Memorial Dr, Oakland, MD, 21550
Fax (833) 448-0361
Enumeration date Aug 17, 2005
Last updated in NPPES Dec 17, 2025

Taxonomy & licenses

363LN0000X Neonatal Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R110105 (MD) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R110105 (MD) Primary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License SP018623 (PA) Secondary

Other identifiers

Identifier Type State Issuer
0167161000 Medicaid WV -
1124010004 Medicaid WV -
103470021 Medicaid PA -
126751500 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jacquelyn Bauer's NPI record?
Cross-check NPI 1124010004 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1124010004 active?
Yes, as of the latest NPPES snapshot, NPI 1124010004 is active (record last updated 2025-12-17).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-17.