CANDICE ELAINE BACON CRNA
NPI 1417599200
Nurse Anesthetist, Certified Registered in Louisville, KY
About Candice Elaine Bacon Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDICE ELAINE BACON CRNA (NPI 1417599200) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (3014174) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Candice Elaine Bacon Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Candice Bacon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40202
- Reassigned Medicare billing, Kentucky enrollment
- 526 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 1,761 clinicians in this Medicare group
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 88 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kentucky Hospital
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40202 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.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
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 Candice Bacon's NPI number?
The NPI number for Candice Bacon is 1417599200. It was assigned to this individual provider in the NPPES registry on October 13, 2019.
Where is Candice Bacon located?
Candice Bacon practices at 200 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 629-8000.
What is Candice Bacon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Candice Bacon enrolled in Medicare?
Yes. Candice Bacon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Candice Bacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candice Bacon reassigns Medicare benefits to 3 organizations: Professional Anesthesia Services Of Kentucky PLLC (Louisville, KY), University Of Kentucky (Lexington, KY) and Capital Anesthesia Solutions Of Kentucky LLC (Somerset, KY). 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 Candice Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Candice Bacon affiliated with any hospitals?
According to CMS data, Candice Bacon is affiliated with University Of Kentucky Hospital.
When was this NPI record last updated?
The NPPES record for Candice Bacon was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Candice Elaine Bacon, CRNA · NPI 1417599200
Nurse Anesthetist, Certified Registered physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since October 13, 2019.
## Identity
- **NPI:** 1417599200 (Entity type: Individual)
- **Enumerated:** October 13, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3014174 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E CHESTNUT ST, Louisville, KY 40202-1800
- **Phone:** (502) 629-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Professional Anesthesia Services Of Kentucky PLLC (NPI 1992212807, Louisville, KY); University Of Kentucky (NPI 1194852582, Lexington, KY); Capital Anesthesia Solutions Of Kentucky LLC (NPI 1023665882, Somerset, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417599200) · Data from the CMS NPPES public registry.