ANGEL BACON FNP
NPI 1619677481
Nurse Practitioner - Family in Aylett, VA

Active since March 09, 2023PECOS EnrolledAccepts Medicare Assignment
4917 RICHMOND TAPPAHANNOCK HWY STE 18, AYLETT, VA 23009(804) 769-1245 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Angel Bacon Fnp NPPES

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

ANGEL BACON FNP (NPI 1619677481) is an individual family provider in Aylett, Virginia, licensed in Virginia (0024186663) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Vcu Health Tappahannock Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619677481
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGEL BACONCredential: FNP
Location Address4917 RICHMOND TAPPAHANNOCK HWY STE 18Aylett, VA 23009-3416
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 9, 2023
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
NPI 1619677481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024186663
4917 RICHMOND TAPPAHANNOCK HWY STE 18, Aylett, VA 23009

Other Names 1

Former Name (1)Angel Daniels Fnp

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

Angel Bacon Fnp 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 ID7517321474
PECOS Enrollment IDI20230911001930
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23009 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Angel Bacon's NPI number?

The NPI number for Angel Bacon is 1619677481. It was assigned to this individual provider in the NPPES registry on March 9, 2023. The provider is also known as Angel Daniels Fnp.

Where is Angel Bacon located?

Angel Bacon practices at 4917 Richmond Tappahannock Hwy Ste 18, Aylett, VA 23009. The listed phone number is (804) 769-1245.

What is Angel Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angel Bacon enrolled in Medicare?

Yes. Angel Bacon 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.

Is Angel Bacon affiliated with any hospitals?

According to CMS data, Angel Bacon is affiliated with Vcu Health Tappahannock Hospital.

When was this NPI record last updated?

The NPPES record for Angel Bacon was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.