MICHELLE A. BACON (NP-C) – Family Nurse Practitioner, NPI 1225480189

MICHELLE A. BACON (NP-C) is a healthcare provider. based in Defiance, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APRN.CN.019949 (OH). The NPI Number for MICHELLE A. BACON (NP-C) is 1225480189

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE A. BACON (NP-C)
NPI
1225480189
Phone
Not provided
Address
1400 E 2ND ST
Enumeration Date
4 July 2016
Last Update Date
19 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197841414
Graduation Year
2016 (10 years ago)
PAC ID
8729369897
Group Practice PAC ID
9739585480
Professional Enrollment ID
I20170103001646
Address ID
OH435122440DE1400XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

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Provider Addresses for MICHELLE A. BACON (NP-C)

  • East 2nd Street, Defiance, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435122440

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-01-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170103001646INurse PractitionerOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes136127$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 43512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739585480View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Registered Dietitian Or Nutrition ProfessionalOH
Family PracticeOH
Orthopedic SurgeryOH
Family PracticeOH
Internal MedicineOH
Certified Nurse Midwife (Cnm)OH
Cardiovascular Disease (Cardiology), Internal MedicineOH
Clinical Social WorkerOH
General SurgeryOH

Reviews

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Frequently asked questions

Can I cross-check MICHELLE A. BACON (NP-C) using NPI 1225480189?
NPI 1225480189 belongs to MICHELLE A. BACON (NP-C); compare other details if you need extra assurance.
Is MICHELLE A. BACON (NP-C) shown as active in public data?
Registry records indicate MICHELLE A. BACON (NP-C) maintains an active NPI.
What expertise is attributed to MICHELLE A. BACON (NP-C)?
MICHELLE A. BACON (NP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MICHELLE A. BACON (NP-C) located near Defiance?
MICHELLE A. BACON (NP-C) currently maps to Defiance, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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