Nicholas Bauder, APN - Nurse Practitioner in Maryville, IL

Nicholas Bauder, APN is a Nurse Practitioner - Family based in Maryville, Illinois. Nicholas Bauder is licensed to practice in Illinois (license number 209.032488) and his current practice location is 2148 Vadalabene Dr, Maryville, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 877-4420.

NPI number for Nicholas Bauder is 1275216699 and his current mailing address is 1003 Martin Luther King Dr, Bloomington, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275216699.

Contact Information

Nicholas Bauder, APN
2148 Vadalabene Dr,
Maryville, IL 62062-5632
(618) 877-4420
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Bauder
GenderMale
SpecialityNurse Practitioner - Family
Location2148 Vadalabene Dr, Maryville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275216699
  • Provider Enumeration Date: 08/11/2023
  • Last Update Date: 06/18/2025

Medical Identifiers

Medical identifiers for Nicholas Bauder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275216699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2019043435 (Missouri)Secondary
163W00000XRegistered Nurse 041476077 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209.032488 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Bauder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Bauder, APN
1003 Martin Luther King Dr,
Bloomington, IL 61701-1429

Ph: (888) 924-3786
Nicholas Bauder, APN
2148 Vadalabene Dr,
Maryville, IL 62062-5632

Ph: (618) 877-4420

Reviews and Comments


Nurse Practitioner Nurses in Maryville, IL

Mrs. Katherine Anne Burnley, ANP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062
Phone: 618-288-7605    Fax: 618-288-7644
Mrs. Christie Marie Keen, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 6800 State Route 162, Maryville, IL 62062
Phone: 618-288-5711    Fax: 618-288-4088
Alyssa Ruwe Martz,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062
Phone: 618-288-9460    Fax: 618-288-9461
Mrs. Joann Marie Wilson, RN, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062
Phone: 618-288-6722    Fax: 618-288-2077
Jennifer D Wesselman-williams, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062
Phone: 618-288-7408    Fax: 618-288-7418
Danielle Nicole Fries, AGNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062
Phone: 618-288-0900    Fax: 618-288-0909
Deanna Moorman, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062
Phone: 618-288-7408    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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