1. Home
  2. Directory
  3. Florida
  4. Palm Harbor
  5. Nurse Practitioner
  6. NPI Profile

STEPHANIE BACON APRN
NPI 1699424986
Nurse Practitioner - Family in Palm Harbor, FL

Active since March 22, 2022PECOS Enrolled
3508 ROLLING TRL, PALM HARBOR, FL 34684(850) 376-7678 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Bacon Aprn NPPES

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

STEPHANIE BACON APRN (NPI 1699424986) is an individual family provider in Palm Harbor, Florida, licensed in Florida (APRN11018258) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Palm Harbor.

NPPES Registry Identity

NPI1699424986
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE BACONCredential: APRN
Location Address3508 ROLLING TRLPalm Harbor, FL 34684-3534
Mailing Address3508 Rolling TrlPalm Harbor, FL 34684-3534 · (850) 376-7678
Phone(850) 376-7678
Sole ProprietorYes
Enumeration DateMarch 22, 2022
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1699424986 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 FL · APRN11018258
3508 ROLLING TRL, Palm Harbor, FL 34684
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Serban

Secondary Practice Location 1

Location 13890 Tampa Rd Ste 307Palm Harbor, FL 34684-3677 · Phone (727) 789-5811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Bacon Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Bacon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Integrated Rehabilitation, LLC
7.7 mi
Pain Medicine
2803 GULF TO BAY BLVD, 150
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1023555695 (308) 631-8345

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 34684 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Stephanie Bacon's NPI number?

The NPI number for Stephanie Bacon is 1699424986. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Stephanie Serban.

Where is Stephanie Bacon located?

Stephanie Bacon practices at 3508 Rolling Trl, Palm Harbor, FL 34684. The listed phone number is (850) 376-7678.

What is Stephanie Bacon's specialty?

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

Is Stephanie Bacon enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Bacon reassigns Medicare benefits to Advanced Integrated Rehabilitation, LLC (Clearwater, FL). The 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 Stephanie Bacon'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 Stephanie Bacon was last updated on January 5, 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.