MARY THERESA BAUER (PAC) – Physician Assistant, NPI 1437147402

MARY THERESA BAUER (PAC) is a healthcare provider. based in Independence, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 1498 (OH). The NPI Number for MARY THERESA BAUER (PAC) is 1437147402

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MARY THERESA BAUER (PAC)
NPI
1437147402
Phone
(216) 369-2525
Address
6701 ROCKSIDE RD
Enumeration Date
12 October 2005
Last Update Date
14 May 2009

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
3173536018
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20060719000352
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for MARY THERESA BAUER (PAC)

  • 6701, Rockside Road, Independence, Cuyahoga County, Ohio, 44131, United States

    #260

    INDEPENDENCE, OH 441312358

    Phone: (216) 369-2525

    Fax: (216) 369-2531

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060719000352IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12391$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 44131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for MARY THERESA BAUER (PAC)?
Save NPI 1437147402 if you need a stable reference for MARY THERESA BAUER (PAC).
Is MARY THERESA BAUER (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARY THERESA BAUER (PAC) work in?
You can think of MARY THERESA BAUER (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MARY THERESA BAUER (PAC)?
We surface Independence, Ohio for MARY THERESA BAUER (PAC) based on available NPPES addresses.
Is MARY THERESA BAUER (PAC) a real provider?
This page reflects official NPPES data for NPI 1437147402. Always confirm identity and privileges with the practice and licensing boards.

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