Samantha K Bauer
Nurse Practitioner, Family in Powell, TN. Individual provider (NPI-1).
NPI number1972147908
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1972147908
- Entity type
- Individual (NPI-1)
- Name
- Samantha K Bauer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2019
- Certification date
- Nov 29, 2021
- Last updated
- Nov 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 29890 | TN | Yes |
Practice location
201 E Emory RdPowell, TN 37849-4016
Phone 659-383-6278 · Fax 833-908-2166
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 865-584-1363
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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