ANNETTE L. BACON WHCNP
NPI 1366506362
Nurse Practitioner - Women's Health in Dallas, TX
About Annette L. Bacon Whcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNETTE L. BACON WHCNP (NPI 1366506362) is an individual women's health provider in Dallas, Texas, licensed in Texas (530649) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 13
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
Annette L. Bacon Whcnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Annette Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 808 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
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 Annette Bacon's NPI number?
The NPI number for Annette Bacon is 1366506362. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Annette Bacon located?
Annette Bacon practices at 5201 Harry Hines Blvd Medical Staff Services, Dallas, TX 75235. The listed phone number is (214) 590-8006.
What is Annette Bacon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Annette Bacon enrolled in Medicare?
Yes. Annette 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 Annette Bacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annette Bacon reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Dallas County Hospital District (Dallas, TX). 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 Annette Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annette Bacon accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Annette 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.
Is Annette Bacon affiliated with any hospitals?
According to CMS data, Annette Bacon is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Annette Bacon was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Annette L. Bacon, WHCNP · NPI 1366506362
Women's Health physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1366506362 (Entity type: Individual)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 530649 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, Dallas, TX 75235-7708
- **Phone:** (214) 590-8006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Texas Southwestern Medical Center At Dallas (NPI 1083669766, Dallas, TX); Dallas County Hospital District (NPI 1649278995, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 19, 2009
- **Other identifiers:** Medicaid 157515103 (TX); Medicaid 157515111 (TX); Other 8Y1538 (TX); and 10 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366506362) · Data from the CMS NPPES public registry.