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

Active since March 22, 2022Opted out of Medicare · through Apr 1, 2028
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: August 16, 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 has opted out of Medicare through April 1, 2028.

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
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

Other Names 1

Former Name (1)Stephanie Serban

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Stephanie Bacon Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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?

No. Stephanie Bacon has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

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.