BAILEY ELIZABETH EICKHOLT
NPI 1194610212
Nurse Anesthetist, Certified Registered in Dayton, OH

Q: What is Bailey Eickholt's NPI number?

The NPI number for Bailey Eickholt is 1194610212. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Bailey Eickholt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Bailey Eickholt was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 10, 2025Accepts Medicare Assignment

405 W GRAND AVE, DAYTON, OH 45405(937) 723-3200 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Bailey Elizabeth Eickholt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAILEY ELIZABETH EICKHOLT (NPI 1194610212) is an individual nurse anesthetist, certified registered in Dayton, Ohio, licensed in Ohio (APRN.CRNA.0021572) and active in the NPI registry since June 2025. She is affiliated with Kettering Health Dayton and is a graduate of Other (2026).

NPPES Registry Identity

NPI1194610212

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameBAILEY ELIZABETH EICKHOLT

Location Address405 W GRAND AVEDayton, OH 45405-7538

Mailing Address1568 Ashley Ct Apt AFairborn, OH 45324-6584

Phone(937) 723-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJune 10, 2025

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1194610212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OH · APRN.CRNA.0021572

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

405 W GRAND AVE, Dayton, OH 45405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Bailey Elizabeth Eickholt 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 ID8325504426

PECOS Enrollment IDI20260729002428

Medicare Billing Reassignment

Medicare enrollment records show Bailey Eickholt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Anesthesia & Pain Services, LLC

Same address

Anesthesiology

405 W GRAND AVE
Dayton, OH 45405

Reassigned Medicare billing, Ohio enrollment
419 clinicians in this Medicare group

NPI 1629401898 (937) 723-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

LARA MARTINEZ

Emergency Medicine