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CIERA RENEE BACON
NPI 1437723897
Speech-Language Pathologist in Otsego, MN

Active since May 19, 2021
15590 90TH ST NE, OTSEGO, MN 55330(763) 755-4275 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, May 19, 2021 (2 updates tracked since 2021).

About Ciera Renee Bacon NPPES

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

CIERA RENEE BACON (NPI 1437723897) is an individual speech-language pathologist provider in Otsego, Minnesota and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1437723897
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCIERA RENEE BACON
Location Address15590 90TH ST NEOtsego, MN 55330-9452
Mailing Address15590 90th St NeOtsego, MN 55330-9452 · (763) 755-4275
Phone(763) 755-4275
Sole ProprietorNo
Enumeration DateMay 19, 2021
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1437723897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
15590 90TH ST NE, Otsego, MN 55330
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ciera Renee Bacon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ciera Bacon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Speech & Therapy Services, LLC
13 mi
Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 clinicians in this Medicare group
NPI 1235285966 (763) 755-4275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SAMANTHA JANE YOUNG
Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
MELANIE DEUTSCH OTR
Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
ERICA MACALUS COTA/L
Occupational Therapy Assistant
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 308-3869
ASHLEY SPRAIN
Physical Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
ALI KARELS
Speech-Language Pathologist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 308-3869
DR. NICOLLET SUE YOUNG OTD
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
DEBORAH GABEL
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
EMILY A BOUGHNER MS, OTR/L
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275

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 Ciera Bacon's NPI number?

The NPI number for Ciera Bacon is 1437723897. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Ciera Bacon located?

Ciera Bacon practices at 15590 90th St NE, Otsego, MN 55330. The listed phone number is (763) 755-4275.

What is Ciera Bacon's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ciera Bacon enrolled in Medicare?

Yes. Ciera Bacon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ciera Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ciera Bacon reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, MN). The 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 Ciera Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ciera Bacon was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.