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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Stacey Bacon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers 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.