ODESSA ANN BACON ARNP, PMHNP-BC
NPI 1801077169
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, WA

Q: What is Odessa Bacon's NPI number?

The NPI number for Odessa Bacon is 1801077169. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is Odessa Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Odessa Bacon was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 15, 2007PECOS Enrolled

9330 59TH AVE SW, LAKEWOOD, WA 98499(253) 936-5937 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Odessa Ann Bacon Arnp, Pmhnp-bc NPPES

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

ODESSA ANN BACON ARNP, PMHNP-BC (NPI 1801077169) is an individual psychiatric/mental health provider in Lakewood, Washington, licensed in Washington (AP61005962) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801077169

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameODESSA ANN BACONCredential: ARNP, PMHNP-BC

Location Address9330 59TH AVE SWLakewood, WA 98499-2858

Mailing Address9330 59th Ave SwLakewood, WA 98499-2858 · (253) 936-5937

Phone(253) 936-5937

Sole ProprietorYes

Enumeration DateNovember 15, 2007

Last NPPES UpdateNovember 4, 2019

✔ NPI 1801077169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61005962

Also ListedRegistered NurseTaxonomy 163W00000X · License RN00175337 (WA)

9330 59TH AVE SW, Lakewood, WA 98499

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odessa Ann Bacon Arnp, Pmhnp-bc 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 Reassignments

Medicare enrollment records show Odessa Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Lakes Mental Health Foundation Inc

Same address

Community Based Residential Treatment Facility, Mental Illness

9330 59TH AVE SW
Lakewood, WA 98499

Reassigned Medicare billing, Washington enrollment
67 clinicians in this Medicare group

NPI 1225039811 (253) 581-7020

Multicare Health System

0.2 mi

Physical Therapist

9514 GRAVELLY LAKE DR SW
Lakewood, WA 98499

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1790298081 (253) 983-9395

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 98499 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

CLAUDIA HOCKETT MA

Counselor (Mental Health)