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

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
1027 MEMORIAL DR, OAKLAND, MD 21550(301) 533-3300(833) 448-0361 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2025, Aug 3, 2022, Sep 13, 2021 and 3 more (6 updates tracked since 2020).

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

NPI1124010004
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACQUELYN P BAUERCredential: C.R.N.P.
Location Address1027 MEMORIAL DROakland, MD 21550-4343
Mailing Address1027 Memorial DrOakland, MD 21550-4343 · (301) 533-3300 · Fax (833) 448-0361
Fax(833) 448-0361
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 17, 2005
Last NPPES UpdateDecember 17, 20256 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1124010004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in MD · R110105 Licensed in PA · SP018623
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License R110105 (MD)
1027 MEMORIAL DR, Oakland, MD 21550

Secondary Practice Location 1

Location 112500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-7000

Other Identifiers 4

Medicaid0167161000WV
Medicaid1124010004WV
Medicaid103470021PA
Medicaid126751500MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7719932524
PECOS Enrollment IDI20181015000175
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacy (Community/Retail Pharmacy)
1027 MEMORIAL DR, SUITE 100
OAKLAND, MD 21550
Nurse Practitioner (Psychiatric/Mental Health)
1027 MEMORIAL DR
OAKLAND, MD 21550
Family Medicine
1027 MEMORIAL DR
OAKLAND, MD 21550
Dietitian, Registered
1027 MEMORIAL DR
OAKLAND, MD 21550
Nurse Practitioner (Family)
1027 MEMORIAL DR
OAKLAND, MD 21550
Social Worker (Clinical)
1027 MEMORIAL DR
OAKLAND, MD 21550
Physician Assistant
1027 MEMORIAL DR
OAKLAND, MD 21550
Nurse Practitioner (Family)
1027 MEMORIAL DR
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.

When was this NPI record last updated?

The NPPES record for Jacquelyn Bauer was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.