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CAROL BACON APN
NPI 1912340662
Nurse Practitioner - Acute Care in Newark, NJ

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER, NEWARK, NJ 07112(973) 926-7320(973) 705-8207 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carol Bacon Apn NPPES

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

CAROL BACON APN (NPI 1912340662) is an individual acute care provider in Newark, New Jersey, licensed in New Jersey (26NJ00272500) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1912340662
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCAROL BACONCredential: APN
Location Address201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTERNewark, NJ 07112-2027
Mailing Address201 Lyons Ave, Newark Beth Israel Medical CenterNewark, NJ 07112-2027 · (973) 926-7320 · Fax (973) 705-8207
Phone(973) 926-7320
Fax(973) 705-8207
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 12, 2013
✔ NPI 1912340662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ00272500
201 LYONS AVE, Newark, NJ 07112
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Bacon Apn 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 ID3274076765
PECOS Enrollment IDI20240625003317
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
GARY LAYTON DDS
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7642
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

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 Carol Bacon's NPI number?

The NPI number for Carol Bacon is 1912340662. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Carol Bacon located?

Carol Bacon practices at 201 Lyons Ave Newark Beth Israel Medical Center, Newark, NJ 07112. The listed phone number is (973) 926-7320.

What is Carol Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Carol Bacon enrolled in Medicare?

Yes. Carol 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.

Is Carol Bacon affiliated with any hospitals?

According to CMS data, Carol Bacon is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Bacon was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.