STACEY E BACON NP-C
NPI 1003066085
Nurse Practitioner - Family in Pittsburg, KS

Active since September 25, 2008PECOS EnrolledAccepts Medicare Assignment
1701 S BROADWAY ST, PITTSBURG, KS 66762(620) 235-4452 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey E Bacon Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY E BACON NP-C (NPI 1003066085) is an individual family provider in Pittsburg, Kansas, licensed in Kansas (75561) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003066085
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY E BACONCredential: NP-C
Location Address1701 S BROADWAY STPittsburg, KS 66762-5856
Mailing Address1701 S Broadway StPittsburg, KS 66762-5856 · (620) 235-4452
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 25, 2008
Last NPPES UpdateFebruary 7, 2020
✔ NPI 1003066085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in KS · 75561✔ Licensed in MO · 2004015211
1701 S BROADWAY ST, Pittsburg, KS 66762

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacey E Bacon Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638237670
PECOS Enrollment IDI20240228002838
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacey Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
911 E CENTENNIAL DR
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 16 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
911 E CENTENNIAL DR
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Critical Care Medicine)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Specialist/Technologist (Athletic Trainer)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Psychologist (Clinical)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Nurse Practitioner (Primary Care)
1701 S BROADWAY ST, PITTSBURG STATE UNIVERSITY, STUDENT HEALTH CENTER
PITTSBURG, KS 66762
Specialist/Technologist (Athletic Trainer)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Nurse Practitioner (Family)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Student in an Organized Health Care Education/Training Program
1701 S BROADWAY ST
PITTSBURG, KS 66762
Specialist/Technologist (Athletic Trainer)
1701 S BROADWAY ST
PITTSBURGH, KS 66762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Bacon's NPI number?

The NPI number for Stacey Bacon is 1003066085. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Stacey Bacon located?

Stacey Bacon practices at 1701 S Broadway St, Pittsburg, KS 66762. The listed phone number is (620) 235-4452.

What is Stacey Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacey Bacon enrolled in Medicare?

Yes. Stacey Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacey Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Bacon reassigns Medicare benefits to 2 organizations: Crawford County Mental Health Center (Pittsburg, KS) and County Of Crawford (Pittsburg, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Bacon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Stacey Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Bacon was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.