DR. ALLISON DANIELLE BACON M.D.
NPI 1720254584
Family Medicine in Santa Rosa, CA
About Dr. Allison Danielle Bacon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALLISON DANIELLE BACON M.D. (NPI 1720254584) is an individual family medicine provider in Santa Rosa, California, licensed in California (A109867) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vallejo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Allison Danielle Bacon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Allison Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Rosa, CA 95403
- Reassigned Medicare billing, California enrollment
- 215 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
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 Allison Bacon's NPI number?
The NPI number for Allison Bacon is 1720254584. It was assigned to this individual provider in the NPPES registry on May 1, 2008.
Where is Allison Bacon located?
Allison Bacon practices at 3569 Round Barn Cir, Santa Rosa, CA 95403. The listed phone number is (707) 303-3600.
What is Allison Bacon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Allison Bacon enrolled in Medicare?
Yes. Allison Bacon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Allison Bacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Bacon reassigns Medicare benefits to 2 organizations: Santa Rosa Community Health Centers (Santa Rosa, CA) and Permanente Medical Group Inc (Vallejo, 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 Allison 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 Allison Bacon was last updated on December 18, 2023. 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.
# Dr. Allison Danielle Bacon, M.D. · NPI 1720254584
Family Medicine physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since May 1, 2008.
## Identity
- **NPI:** 1720254584 (Entity type: Individual)
- **Enumerated:** May 1, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A109867 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3569 ROUND BARN CIR, Santa Rosa, CA 95403-5781
- **Phone:** (707) 303-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Santa Rosa Community Health Centers (NPI 1578631172, Santa Rosa, CA); Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1720254584) · Data from the CMS NPPES public registry.