BAILEY A BAUER PA-C
NPI 1245652718
Physician Assistant in Appleton, WI

Active since January 17, 2014PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2500 E CAPITOL DR STE 1700, APPLETON, WI 54911(920) 731-8131(920) 733-6668 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2024, Nov 12, 2024, Jun 14, 2024 and 3 more (6 updates tracked since 2015).

About Bailey A Bauer Pa-c NPPES

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

BAILEY A BAUER PA-C (NPI 1245652718) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (3261-23) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1245652718
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBAILEY A BAUERCredential: PA-C
Location Address2500 E CAPITOL DR STE 1700Appleton, WI 54911-8735
Mailing Address2000 E Milestone DrAppleton, WI 54913-6701 · (920) 358-1729 · Fax (920) 832-0444
Fax(920) 733-6668
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 17, 2014
Last NPPES UpdateDecember 20, 20246 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1245652718 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 WI · 3261-23
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.
2500 E CAPITOL DR STE 1700, Appleton, WI 54911

Other Names 1

Former Name (1)Bailey Vandenheuvel Pa-c

Accepted Insurance

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

Bailey A Bauer Pa-c 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 ID2567692882
PECOS Enrollment IDI20140307000143
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Pulmonary Disease)
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Surgery
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Physician Assistant
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Internal Medicine (Gastroenterology)
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911
Physician Assistant
2500 E CAPITOL DR STE 1700
APPLETON, WI 54911

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 Bailey Bauer's NPI number?

The NPI number for Bailey Bauer is 1245652718. It was assigned to this individual provider in the NPPES registry on January 17, 2014. The provider is also known as Bailey Vandenheuvel Pa-C.

Where is Bailey Bauer located?

Bailey Bauer practices at 2500 E Capitol Dr Ste 1700, Appleton, WI 54911. The listed phone number is (920) 731-8131.

What is Bailey Bauer's specialty?

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

Is Bailey Bauer enrolled in Medicare?

Yes. Bailey 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.

What insurance does Bailey Bauer accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Bailey 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.

Is Bailey Bauer affiliated with any hospitals?

According to CMS data, Bailey Bauer is affiliated with St Vincent Hospital, St Mary's Hospital Medical Center and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bailey Bauer was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.