JACLYN BACON FNP-C
NPI 1265716344
Nurse Practitioner - Family in Mesa, AZ

Q: What is Jaclyn Bacon's NPI number?

The NPI number for Jaclyn Bacon is 1265716344. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Q: What is Jaclyn 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 Jaclyn Bacon was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment

10238 E HAMPTON AVE, SUITE 202, MESA, AZ 85209(623) 512-4390(623) 512-4391 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jaclyn Bacon Fnp-c NPPES

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

JACLYN BACON FNP-C (NPI 1265716344) is an individual family provider in Mesa, Arizona, licensed in Arizona (AP4198) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265716344

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN BACONCredential: FNP-C

Location Address10238 E HAMPTON AVE, SUITE 202Mesa, AZ 85209-3316

Mailing Address10238 E Hampton Ave, Suite 202Mesa, AZ 85209-3316 · (623) 512-4390 · Fax (623) 512-4391

Phone(623) 512-4390

Fax(623) 512-4391

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 6, 2011

Last NPPES UpdateMarch 15, 2013

✔ NPI 1265716344 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

License✔ Licensed in AZ · AP4198

10238 E HAMPTON AVE, Mesa, AZ 85209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Jaclyn Bacon Fnp-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 ID840436986

PECOS Enrollment IDI20130416000701

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

132 services85 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.

84 services73 patients

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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85209 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. ALAELDIN ABDALLA ELTOM MD

Internal Medicine (Interventional Cardiology)

10238 E HAMPTON AVE, SUITE 501
MESA, AZ 85209

Maricopa County (480) 889-1573

AKDHC, LLC

Internal Medicine (Nephrology)

10238 E HAMPTON AVE, SUITE 504
MESA, AZ 85209

Maricopa County (480) 553-9277

BENJAMIN DRIVING HAWK DO

Student in an Organized Health Care Education/Training Program

10238 E HAMPTON AVE
MESA, AZ 85209

Maricopa County (480) 834-7546

FYK MED PLLC

Internal Medicine

10238 E HAMPTON AVE
MESA, AZ 85209

Maricopa County (480) 354-6463

EAST VALLEY MEDICAL GROUP, INC.

General Practice

10238 E HAMPTON AVE, SUITE 212
MESA, AZ 85209

Maricopa County (480) 632-2004

MRS. CARISSA NORIEGA FNP-C

Nurse Practitioner

10238 E HAMPTON AVE, #507
MESA, AZ 85209

Maricopa County (480) 821-3616

ARIZONA GASTRO CARE PLLC

Internal Medicine (Gastroenterology)

10238 E HAMPTON AVE, #305
MESA, AZ 85209

Maricopa County (480) 553-9277

SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

10238 E HAMPTON AVE, STE 108
MESA, AZ 85209

Maricopa County (480) 357-8009

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 Jaclyn Bacon's NPI number?

The NPI number for Jaclyn Bacon is 1265716344. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Jaclyn Bacon located?

Jaclyn Bacon practices at 10238 E Hampton Ave Suite 202, Mesa, AZ 85209. The listed phone number is (623) 512-4390.

What is Jaclyn Bacon's specialty?

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

Is Jaclyn Bacon enrolled in Medicare?

Yes. Jaclyn 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 Jaclyn Bacon accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jaclyn 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 Jaclyn Bacon was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.