Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Bauder, APN

Individual provider Registered Nurse · NPI 1275216699

Nicholas Bauder, APN is a Nurse Practitioner in Maryville, Illinois. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Illinois and Missouri.

Years since qualifying
1
Licensed in
IL, MO
In the registry since
2023
Specialties on file
3
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

2148 Vadalabene Dr
Maryville, IL 62062-5632
Phone: (618) 877-4420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 747-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.032488 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 2019043435 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 041476077 (IL)

Record details

NPI number1275216699
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedAugust 11, 2023
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address1003 Martin Luther King Dr, Bloomington, IL 61701-1429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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