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Shirley T. Bauman, PA-C, MPAS

NPI 1740321371ActiveIndividual· Physician Assistant· Fort Campbell, KY

Physician Assistant (PA-C, MPAS) in Fort Campbell, Kentucky, licensed in TN and MD, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1740321371
StatusActive
Entity typeIndividual
CredentialPA-C, MPAS
Sole proprietorNo
NPI issuedFeb 8, 2007
Last updated in NPPESMay 31, 2025
Certified by providerMay 31, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1914TN
Physician Assistant363A00000XC0003472MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Fort Campbell

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