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Active NPI 1124010004 Individual Practitioner Female Practitioner

Jacquelyn P Bauer , CRNP

Nurse Practitioner - Pediatrics • Oakland, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacquelyn Bauer, CRNP is a certified Nurse Practitioner - Pediatrics practicing in Oakland, MD. With approximately 33 years of clinical experience since completing medical education in 1993, Jacquelyn Bauer delivers high-quality medical care to the local community at 1027 MEMORIAL DR.

Jacquelyn Bauer is affiliated with Western Maryland Health Care Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1027 Memorial Dr

Oakland, MD 215504343

Telephone 3015333300
Fax 8334480361
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Oakland, MD

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +16.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Oakland, MD (596 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bauer (33 Years) 33 Yrs
Oakland Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MD R110105

Definition to come...

Nurse Practitioner - Neonatal

NUCC Taxonomy Code: 363LN0000X

State License MD R110105

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License PA SP018623

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0167161000 (WV)
Medicaid State Provider ID
1124010004 (WV)
Medicaid State Provider ID
103470021 (PA)
Medicaid State Provider ID
126751500 (MD)

Hospital & Practice Group Affiliations

Western Maryland Health Care Corporation

1027 Memorial Dr, Oakland, MD 215504343

Phone: 30153333003081

Secondary Practice Locations

12500 Willowbrook Rd

Cumberland, MD 215026393

Phone: 2409647000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Kaylene Gray , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053076315

Certified Registered Nurse Practitioner

Jeannette Sweitzer , CRNP

Nurse Practitioner - Family

NPI 1053306647

Certified Registered Nurse Practitioner

Dr. Robert Phares , MD

Family Medicine

NPI 1083666598

Doctor of Medicine (M.D.)

Catessa Simon , MS, RD, LD

Dietitian, Registered

NPI 1083966758

Master of Science, Registered Dietitian, Licensed Dietitian

Marian Thomas , FNP-BC

Nurse Practitioner - Family

NPI 1154879591

Family Nurse Practitioner (Board Certified)

Derek Mccauley , LCSW-C

Social Worker - Clinical

NPI 1164142048

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address December 17, 2025

Registered at 1027 MEMORIAL DR, OAKLAND, MD 215504343 (Tel: 3015333300)

📍
Updated Practice Location September 29, 2025

Registered at 1027 MEMORIAL DR, OAKLAND, MD 215504343 (Tel: 3015333300)

📍
Updated Business Mailing Address November 13, 2020

Registered at 13210 GROWDENVALE DR NE, CUMBERLAND, MD 215026844 (Tel: 3017247616)

NPI Profile Active April 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2013

Registered at 500 GREENE ST, CUMBERLAND, MD 215022755 (Tel: 3017247616)

📍
Updated Business Mailing Address April 18, 2013

Registered at 500 GREENE ST, CUMBERLAND, MD 215022755 (Tel: 3017247616)

👤
Provider Name / Credentials Updated April 18, 2013

Recorded as JACQUELYN BAUER, C.R.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2013

Nurse Practitioner (License #R110105 in MD)

🟢
Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124010004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2005
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

1027 Memorial Dr

Oakland, MD 215504343

Phone: 3015333300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.