JACQUELYN P BAUER C.R.N.P.
NPI 1124010004
Nurse Practitioner - Pediatrics in Oakland, MD
About Jacquelyn P Bauer C.r.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN P BAUER C.R.N.P. (NPI 1124010004) is an individual pediatrics provider in Oakland, Maryland, licensed in Maryland (R110105) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cumberland, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacquelyn P Bauer C.r.n.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Jacquelyn Bauer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakland, MD 21550
- Reassigned Medicare billing, Maryland enrollment
- 26 clinicians in this Medicare group
Morgantown, WV 26508
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 clinicians in this Medicare group
Lavale, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 10 clinicians in this Medicare group
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Childrens Medical Group PA
- 7 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 756 clinicians in this Medicare group
Towson, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, MD 21550
OAKLAND, MD 21550
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacquelyn Bauer's NPI number?
The NPI number for Jacquelyn Bauer is 1124010004. It was assigned to this individual provider in the NPPES registry on August 17, 2005.
Where is Jacquelyn Bauer located?
Jacquelyn Bauer practices at 1027 Memorial Dr, Oakland, MD 21550. The listed phone number is (301) 533-3300.
What is Jacquelyn Bauer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jacquelyn Bauer enrolled in Medicare?
Yes. Jacquelyn Bauer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacquelyn Bauer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Bauer reassigns Medicare benefits to 6 organizations: Western Maryland Health Care Corporation (Oakland, MD), Wvu Med Corp Cheat Lake Physicians (Morgantown, WV), Wellcare Inc (Lavale, MD), Children's Medical Group, P.A. (Cumberland, MD), Winchester Medical Center (Winchester, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Bauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Bauer accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Jacquelyn Bauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacquelyn Bauer was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacquelyn P Bauer, C.R.N.P. · NPI 1124010004
Pediatrics physician in Oakland, Maryland. Individual provider, active in the CMS NPPES registry since August 17, 2005.
## Identity
- **NPI:** 1124010004 (Entity type: Individual)
- **Enumerated:** August 17, 2005
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R110105 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1027 MEMORIAL DR, Oakland, MD 21550-4343
- **Phone:** (301) 533-3300 · **Fax:** (833) 448-0361
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Western Maryland Health Care Corporation (NPI 1467427047, Oakland, MD); Wvu Med Corp Cheat Lake Physicians (NPI 1568661148, Morgantown, WV); Wellcare Inc (NPI 1912667734, Lavale, MD); Children's Medical Group, P.A. (NPI 1528165750, Cumberland, MD); Winchester Medical Center (NPI 1942098512, Winchester, VA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** December 17, 2025
- **Other identifiers:** Medicaid 0167161000 (WV); Medicaid 1124010004 (WV); Medicaid 103470021 (PA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124010004) · Data from the CMS NPPES public registry.