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CHARLA BAREFIELD BACON FNP-C
NPI 1639697188
Nurse Practitioner - Family in Johnson City, TN

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
1018 CHASE DR, JOHNSON CITY, TN 37604(423) 282-3379(423) 430-6227 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Nov 14, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Charla Barefield Bacon Fnp-c NPPES

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

CHARLA BAREFIELD BACON FNP-C (NPI 1639697188) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (22937) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639697188
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLA BAREFIELD BACONCredential: FNP-C
Location Address1018 CHASE DRJohnson City, TN 37604-1402
Mailing Address1018 Chase DrJohnson City, TN 37604-1402 · (423) 282-3379 · Fax (423) 430-6227
Phone(423) 282-3379
Fax(423) 430-6227
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
Last NPPES UpdateMarch 18, 20245 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1639697188 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 TN · 22937
1018 CHASE DR, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1926 W Oakland Ave Ste 206Johnson City, TN 37604-1445 · Phone (423) 282-3379

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Charla Barefield Bacon Fnp-c 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 ID8729348065
PECOS Enrollment IDI20180207001241
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 Charla Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jason Della Vecchia MD PLLC
15 mi
Addiction Medicine
1700 PINEBROOK DR STE 4
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
NPI 1053191866 (423) 251-6670
Emmaus Medical And Counseling, PLLC
38 mi
Addiction Medicine
273 HIGHWAY 11 E STE E
Bulls Gap, TN 37711
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 11 clinicians in this Medicare group
NPI 1598256117 (423) 393-4146

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 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN MARIE HOLLIER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
DR. ZACHARY A. HAMMONS MD
Psychiatry & Neurology (Psychiatry)
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
CATALYST HEALTH SOLUTIONS,LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
ASHLEY LAUREN SELL LMSW
Social Worker
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
MR. JEROME J COHAN NP
Nurse Practitioner
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
MRS. LAUREN BERRY NP-C
Nurse Practitioner (Family)
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
TIMOTHY SCOTT SMYTH M.D.
Anesthesiology (Addiction Medicine)
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379
MRS. KIMBERLY DAWN LILLEY FNP-C
Nurse Practitioner (Family)
1018 CHASE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-3379

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 Charla Bacon's NPI number?

The NPI number for Charla Bacon is 1639697188. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Charla Bacon located?

Charla Bacon practices at 1018 Chase Dr, Johnson City, TN 37604. The listed phone number is (423) 282-3379.

What is Charla Bacon's specialty?

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

Is Charla Bacon enrolled in Medicare?

Yes. Charla 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.

Which organizations bill Medicare for Charla Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charla Bacon reassigns Medicare benefits to 2 organizations: Jason Della Vecchia MD PLLC (Kingsport, TN) and Emmaus Medical And Counseling, PLLC (Bulls Gap, TN). 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 Charla Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charla Bacon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Charla Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charla Bacon was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.