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POLLY ROSE A BACOD NP
NPI 1568050367
Nurse Practitioner in Pasadena, CA

Active since January 06, 2021PECOS EnrolledAccepts Medicare Assignment
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5000 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1568050367
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePOLLY ROSE A BACODCredential: NP
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing Address22059 Windham WaySanta Clarita, CA 91350-5745 · (661) 714-2412
Phone(626) 397-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 6, 2021
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1568050367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95017273
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 565027 (CA)
100 W CALIFORNIA BLVD, Pasadena, CA 91105
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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 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.

PECOS PAC ID3577968056
PECOS Enrollment IDI20210820002794
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Polly Rose Bacod reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedars-Sinai Medical Care Foundation
14 mi
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1316984388 (310) 385-3200
Southern California Hospitalist Network Medical Group Inc
29 mi
Internal Medicine
625 THE CITY DR S STE 320
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
NPI 1790880458 (714) 202-2330

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

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

SARAH STEPHENS NP
Nurse Practitioner (Acute Care)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-8300
ROMELIA JALEH BATANG GARCIA RNFA
Registered Nurse (Registered Nurse First Assistant)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5012
DR. RICHARD A. REED MEDICAL DOCTOR
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5139
DR. HENRY LEVENSON M.D.
Pain Medicine (Pain Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 256-6010
PASADENA HOSPITAL ASSOCIATION, LTD.
Rehabilitation Unit
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5555
ANIL K HANUMAN D,O.
Hospitalist
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-8300
DR. NICHOLAS WITHROW GRECO M.D.
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5112
DR. MINDY EVE TITTIGER M.D.
Internal Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 352-1444

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.

Which organizations bill Medicare for Polly Rose Bacod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Rose Bacod reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Southern California Hospitalist Network Medical Group Inc (Orange, CA). 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 Polly Rose Bacod'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 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 18 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.