RAMONA BACON (NP) – Family Nurse Practitioner, NPI 1366865875
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for RAMONA BACON (NP)
105 W STONE DR
SUITE 6A
KINGSPORT, TN 376603365
Phone: (423) 408-7220
Fax: (423) 408-7405
Type: Mailing
111 W STONE DR
SUITE 100
KINGSPORT, TN 376606027
Phone: (423) 247-5197
Fax: (423) 247-5254
Type: Location
111 W Stone Dr
Suite 100
Kingsport, TN 376606027
Phone: (423) 247-5197
Fax: (423) 247-5254
Type: Location
701 W Plymouth Ave
Deland, FL 327203236
Phone: (386) 943-4522
Type: Location
401 PALMETTO ST
NEW SMYRNA BEACH, FL 321687322
Phone: (386) 424-5038
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $723.
Total Amount is formed as General ($723) + Research ($0) + Ownership ($0) = $723.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Lilly USA, LLC ($280).
Total Amount
$723
General + Research + Ownership
Payments
27
Total payment records
General Amount
$723
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $280 |
| Celgene Corporation | $73 |
| Gilead Sciences, Inc. | $62 |
| E.R. Squibb & Sons, L.L.C. | $57 |
| Daiichi Sankyo Inc. | $46 |
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: 2016-12-22
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 |
|---|---|---|---|---|
| I20161222000394 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL |
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