DONNA L BACON, MD, PA
NPI 1306088802
Family Medicine in Rockledge, FL
About Donna L Bacon, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA L BACON, MD, PA (NPI 1306088802) is a healthcare organization registered as a family medicine in Rockledge, Florida and active in the NPI registry since March 2009. The organization lists Donna L Bacon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Donna L Bacon, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Donna L Bacon, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Donna L Bacon MD PA's NPI number?
The NPI number for Donna L Bacon MD PA is 1306088802. It was assigned to this organization in the NPPES registry on March 30, 2009. The provider is doing business as Donna L Bacon, MD, PA.
Where is Donna L Bacon MD PA located?
Donna L Bacon MD PA is located at 1282 Us Highway 1 Ste 1, Rockledge, FL 32955. The listed phone number is (321) 631-3693.
What is Donna L Bacon MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Donna L Bacon MD PA enrolled in Medicare?
Yes. Donna L Bacon MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Donna L Bacon MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Donna L Bacon MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Donna L Bacon MD PA was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Donna L Bacon, Md, Pa · NPI 1306088802
Family Medicine organization in Rockledge, Florida. Organization record, active in the CMS NPPES registry since March 30, 2009.
## Identity
- **NPI:** 1306088802 (Entity type: Organization)
- **Enumerated:** March 30, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Donna L Bacon Md Pa
- **Organization subpart:** No
- **Authorized official:** Donna Bacon, PRESIDENT
## Practice location
- **Address:** 1282 US HIGHWAY 1 STE 1, Rockledge, FL 32955-2747
- **Phone:** (321) 631-3693 · **Fax:** (321) 631-7618
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2023
- **Other identifiers:** Medicaid 101544100 (FL); Other ME71719 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1306088802) · Data from the CMS NPPES public registry.