MRS. NICKOLE AIMEE BACON APRN-C
NPI 1215432224
Nurse Practitioner - Family in Tampa, FL

Q: What is Nickole Bacon's NPI number?

The NPI number for Nickole Bacon is 1215432224. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Q: What is Nickole Bacon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nickole Bacon was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment

3301 W GANDY BLVD, TAMPA, FL 33611(813) 925-1903(813) 749-8370 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 29, 2025, Jul 15, 2021, Feb 26, 2021 and 3 more (6 updates tracked since 2018).

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About Mrs. Nickole Aimee Bacon Aprn-c NPPES

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

MRS. NICKOLE AIMEE BACON APRN-C (NPI 1215432224) is an individual family provider in Tampa, Florida, licensed in Florida (APRN9365609) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215432224

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICKOLE AIMEE BACONCredential: APRN-C

Location Address3301 W GANDY BLVDTampa, FL 33611-2931

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-1355 · Fax (813) 635-2613

Phone(813) 925-1903

Fax(813) 749-8370

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 30, 2018

Last NPPES UpdateMay 29, 20256 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1215432224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN9365609

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN9365609 (FL)

3301 W GANDY BLVD, Tampa, FL 33611

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Other Identifiers 1

Medicaid024515800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Mrs. Nickole Aimee Bacon Aprn-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 ID5092079533

PECOS Enrollment IDI20180508002407

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

Medicare enrollment records show Nickole Bacon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Synergic Healthcare Solutions LLC

Same address

Urgent Care

3301 W GANDY BLVD
Tampa, FL 33611

Reassigned Medicare billing, Florida enrollment
118 clinicians in this Medicare group

NPI 1063718013 (813) 925-1903

Unique Healthcare Systems LLC

12 mi

Urgent Care

7101 US HIGHWAY 19 N
Pinellas Park, FL 33781

Reassigned Medicare billing, Florida enrollment
93 clinicians in this Medicare group

NPI 1831567627 (727) 201-8585

Professional Health Care Of Pinellas LLC

13 mi

Internal Medicine

1839 CENTRAL AVE
St Petersburg, FL 33713

Reassigned Medicare billing, Florida enrollment
220 clinicians in this Medicare group

NPI 1881647253 (727) 322-1054

Vmd Primary Providers Central Florida PLLC

76 mi

Family Medicine

4501 13TH ST
Saint Cloud, FL 34769

Reassigned Medicare billing, Florida enrollment
151 clinicians in this Medicare group

NPI 1134738974 (407) 798-8800

Womankind, Inc.

234 mi

Obstetrics & Gynecology

1511 TRUMAN AVENUE
Key West, FL 33040

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1558666750 (305) 294-4004

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

100 services100 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

92 services83 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

32 services30 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

32 services16 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33611 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

JESSIE HEMRIC

Physician Assistant