1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER S BAUER NP
NPI 1346231412
Nurse Practitioner - Family in South Bend, IN

Active since October 28, 2005
621 MEMORIAL DR STE 302, SOUTH BEND, IN 46601(574) 367-3800(574) 367-3801 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2021, Mar 4, 2016 (2 updates tracked since 2016).

About Jennifer S Bauer Np NPPES

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

JENNIFER S BAUER NP (NPI 1346231412) is an individual family provider in South Bend, Indiana, licensed in Indiana (71001701A) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1346231412
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER S BAUERCredential: NP
Location Address621 MEMORIAL DR STE 302South Bend, IN 46601-1073
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 367-3800
Fax(574) 367-3801
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1346231412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71001701A
621 MEMORIAL DR STE 302, South Bend, IN 46601
Open in Google Maps ↗

Other Identifiers 1

Medicaid300014674IN

Other Providers at the Same Location NPPES 4

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

DR. CHARBEL F MASKINY MD
Internal Medicine (Critical Care Medicine)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350
TED M. ROTH MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 367-3800
DR. CARLTON L. LYONS M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 367-3800
DR. MATTHEW FRANCIS KOSCIELSKI M.D.
Internal Medicine (Critical Care Medicine)
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350

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 Jennifer Bauer's NPI number?

The NPI number for Jennifer Bauer is 1346231412. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Jennifer Bauer located?

Jennifer Bauer practices at 621 Memorial Dr Ste 302, South Bend, IN 46601. The listed phone number is (574) 367-3800.

What is Jennifer Bauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Bauer was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.