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MOLLY ANNE BACON AGPCNP-C, AGPCNP-BC
NPI 1487353579
Nurse Practitioner in Milford, MI

Active since February 27, 2023PECOS Enrolled
3840 W COMMERCE RD, MILFORD, MI 48380(810) 247-0381 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Molly Anne Bacon Agpcnp-c, Agpcnp-bc NPPES

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

MOLLY ANNE BACON AGPCNP-C, AGPCNP-BC (NPI 1487353579) is an individual nurse practitioner in Milford, Michigan, licensed in Michigan (4704301642) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487353579
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMOLLY ANNE BACONCredential: AGPCNP-C, AGPCNP-BC
Location Address3840 W COMMERCE RDMilford, MI 48380-3110
Mailing Address3840 W Commerce RdMilford, MI 48380-3110
Phone(810) 247-0381
Sole ProprietorYes
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 26, 2023
✔ NPI 1487353579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704301642
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3840 W COMMERCE RD, Milford, MI 48380
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Anne Bacon Agpcnp-c, Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48380 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Molly Bacon's NPI number?

The NPI number for Molly Bacon is 1487353579. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Molly Bacon located?

Molly Bacon practices at 3840 W Commerce Rd, Milford, MI 48380. The listed phone number is (810) 247-0381.

What is Molly Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Molly Bacon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Molly Bacon was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.