AMY LYNN BAUER LPC
NPI 1104940360
Counselor - Professional in Madison, WI
NPI Status: Active since March 16, 2007
Contact Information
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
Phone: (608) 263-6100
- Individual
- Female
- Years of Experience 21
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About AMY BAUER
This page provides the complete NPI Profile along with additional information for Amy Bauer, a provider established in Madison, Wisconsin with a medical specialization in Counselor, focusing in professional and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1104940360 assigned on March 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 4371 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104940360
- Provider Name
- AMY LYNN BAUER LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6001 RESEARCH PARK BLVD MADISON, WI 53719
- Location Phone
- (608) 263-6100
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-16-2007
- Last Update Date
- 03-27-2024
- Code Navigator
Location Map
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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4371
- License State
- WI
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Amy Bauer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Amy 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 and Durable Medical Equipment (DME).
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
PECOS PAC ID: 9234581505
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240123001344
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for AMY LYNN BAUER LPC
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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. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 4 | 0 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 4 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 4 + 0 + 3 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104940360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MARCIA J SLATTERY MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
TRACEY LEONE SMITH PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
COLETTE GIRARD PC
Counselor
(Professional)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
ROSEANNE CLARK PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
PAULINE R THOME PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
RONALD J DIAMOND MD
Psychiatry & Neurology
(Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
CARL J GETTO MD
Psychiatry & Neurology
(Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
DIANE ROANG ICSW
Counselor
(Addiction (Substance Use Disorder))
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
PEGGY S SCALLON MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
NANCY E BARKLAGE MD
Psychiatry & Neurology
(Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
GREGORY G KOLDEN PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
STEPHEN J WEILER MD
Psychiatry & Neurology
(Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
MARY L GUTKNECHT PC
Counselor
(Professional)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
WILLIAM A SCHMITT PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
GREGORY M ROGERS PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
AUDREY TLUCZEK PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
ALEXANDER S.P. FRITZ D.O.
Psychiatry & Neurology
(Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
MR. ANDREW MICHAEL BOCK MS, LPC
Counselor
(Professional)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
DR. CLAUDIA L. REARDON M.D.
Psychiatry & Neurology
(Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
MRS. KELLY S MACK APRN BC
Nurse Practitioner
6001 RESEARCH PARK BLVD
MADISON, WI
ZIP 53719
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104940360, enumerated as an "individual" on March 16, 2007.
The provider is located at 6001 RESEARCH PARK BLVD MADISON, WI 53719 and the phone number is (608) 263-6100.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.
