1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. Registered Nurse
  6. NPI Profile

MS. MARY ELIZABETH BACON RN BSN CCM
NPI 1407670987
Registered Nurse - Case Management in Portsmouth, VA

Active since November 12, 2024
620 JOHN PAUL JONES CIR STE 275, PORTSMOUTH, VA 23708(757) 953-0612 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Elizabeth Bacon Rn Bsn Ccm NPPES

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

MS. MARY ELIZABETH BACON RN BSN CCM (NPI 1407670987) is an individual case management provider in Portsmouth, Virginia, licensed in Virginia (0001078291) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1407670987
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMS. MARY ELIZABETH BACONCredential: RN BSN CCM
Location Address620 JOHN PAUL JONES CIR STE 275Portsmouth, VA 23708-2197
Mailing Address126 Conway AveNorfolk, VA 23505-4422 · (757) 403-1679
Phone(757) 953-0612
Sole ProprietorYes
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1407670987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in VA · 0001078291
620 JOHN PAUL JONES CIR STE 275, Portsmouth, VA 23708
Open in Google Maps ↗

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.

GAIL P MOTA PHARMD
Pharmacist
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3333
AKSHAT KULKARNI DO
Student in an Organized Health Care Education/Training Program
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
BRIAN KEITH GORDON DMD
Dentist
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7550
MRS. KAREN REYNOLDS BRAYBOY MSN, CNM
Advanced Practice Midwife
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-4300
RILEIGH TENAE RICKEN
General Practice
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7704
ELISHA BOLTON APRN
Clinical Nurse Specialist
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3382
RON-JOSEPH L OCAMPO DO
Military Health Care Provider
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-5000
MAXINE ANTONETTE BUTLER RN BSN MSHCA
Registered Nurse (Case Management)
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-4018

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 Mary Bacon's NPI number?

The NPI number for Mary Bacon is 1407670987. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Where is Mary Bacon located?

Mary Bacon practices at 620 John Paul Jones Cir Ste 275, Portsmouth, VA 23708. The listed phone number is (757) 953-0612.

What is Mary Bacon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Mary Bacon was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.