ALLISON BAUER - NPI 1215753108 - Physician Assistant in Detroit, MI

Q: What is Allison Bauer's NPI number?

The NPI number for Allison Bauer is 1215753108. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Q: What is Allison Bauer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Allison Bauer was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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About Allison Bauer NPPES

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

ALLISON BAUER (NPI 1215753108) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601013192) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2025).

NPPES Registry Identity

NPI1215753108

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALLISON BAUER

Location Address259 MACK AVE STE 2590Detroit, MI 48201-2427

Mailing Address259 Mack Ave Ste 2590Detroit, MI 48201-2427

Phone(313) 577-1716

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2025

Enumeration DateNovember 25, 2024

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1215753108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601013192

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

259 MACK AVE STE 2590, Detroit, MI 48201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Bauer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315453883

PECOS Enrollment IDI20250722001317

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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SELENA SHAMO

Physician Assistant