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

Q: 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.

Q: What is Ciera Bacon's specialty?

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

Q: 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 15 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.

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: August 16, 2026.

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

On this page

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. She is a graduate of Other (2025).

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

Medical School CMSOtherGraduated 2025

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1153833827

PECOS Enrollment IDI20250626002875

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)