MRS. NICKOLE AIMEE BACON (APRN-C) – Family Nurse Practitioner, NPI 1215432224
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. NICKOLE AIMEE BACON (APRN-C)
2525 PASADENA AVE S STE U
SOUTH PASADENA, FL 337074559
Phone: (727) 360-1784
Fax: (727) 360-1823
Type: Location
3301 W GANDY BLVD
TAMPA, FL 336112931
Phone: (813) 925-1903
Fax: (813) 749-8370
Type: Location
630 PASADENA AVE S
ST PETERSBURG, FL 337072128
Phone: (727) 360-1784
Fax: (727) 360-1823
Type: Location
Drew Street, Clearwater, Pinellas County, Florida, 34625, United States
CLEARWATER, FL 337593012
Phone: (727) 532-1355
Fax: (813) 635-2613
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-01-31 • Largest payer in this snapshot: Novo Nordisk Inc ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180508002407 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 105 | 105 | $0 |
| 81003 | Automated urinalysis test | 18 | 16 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 17 | 17 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | VA | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | CA | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL |
Reviews
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