POLLY ROSE A BACOD NP
NPI 1568050367
Nurse Practitioner in Pasadena, CA
About Polly Rose A Bacod Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POLLY ROSE A BACOD NP (NPI 1568050367) is an individual nurse practitioner in Pasadena, California, licensed in California (95017273) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Polly Rose A Bacod Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PASADENA, CA 91105
PASADENA, CA 91105
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 Polly Rose Bacod's NPI number?
The NPI number for Polly Rose Bacod is 1568050367. It was assigned to this individual provider in the NPPES registry on January 6, 2021.
Where is Polly Rose Bacod located?
Polly Rose Bacod practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (626) 397-5000.
What is Polly Rose Bacod's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Polly Rose Bacod enrolled in Medicare?
Yes. Polly Rose Bacod is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Polly Rose Bacod was last updated on April 25, 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.
# Polly Rose A Bacod, NP · NPI 1568050367
Nurse Practitioner physician in Pasadena, California. Individual provider, active in the CMS NPPES registry since January 6, 2021.
## Identity
- **NPI:** 1568050367 (Entity type: Individual)
- **Enumerated:** January 6, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95017273 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 W CALIFORNIA BLVD, Pasadena, CA 91105-3010
- **Phone:** (626) 397-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568050367) · Data from the CMS NPPES public registry.