Mrs Nickole Aimee Bacon, APRN-C - Medicare Nurse Practitioner in St Petersburg, FL

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Mrs Nickole Aimee Bacon, APRN-C is a medicare enrolled "Nurse Practitioner" in St Petersburg, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Unique Healthcare Systems and her current practice location is 630 Pasadena Ave S, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 360-1784.

Mrs Nickole Aimee Bacon is licensed to practice in Florida (license number APRN9365609) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215432224.

Contact Information

Mrs Nickole Aimee Bacon, APRN-C
630 Pasadena Ave S,
St Petersburg, FL 33707-2128
(727) 360-1784
(727) 360-1823

Map and Direction




Provider's Profile

Full NameMrs Nickole Aimee Bacon
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location630 Pasadena Ave S, St Petersburg, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Nickole Aimee Bacon graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1215432224
  • Provider Enumeration Date: 03/30/2018
  • Last Update Date: 07/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092079533
  • Enrollment ID: I20180508002407

Medical Identifiers

Medical identifiers for Mrs Nickole Aimee Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215432224NPI-NPPES
024515800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9365609 (Florida)Secondary
363L00000XNurse Practitioner APRN9365609 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unique Healthcare Systems549605842223

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Nickole Aimee Bacon allows following entities to bill medicare on her behalf.
Entity NameProfessional Healthcare Of Pinellas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881647253
PECOS PAC ID: 1658274675
Enrollment ID: O20040128000732
Entity NameWomankind, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558666750
PECOS PAC ID: 2264601053
Enrollment ID: O20110812000034
Entity NameUnique Healthcare Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831567627
PECOS PAC ID: 5496058422
Enrollment ID: O20160125001731
Entity NameVmd Primary Providers Central Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134738974
PECOS PAC ID: 2860806197
Enrollment ID: O20210128001072

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nickole Aimee Bacon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Nickole Aimee Bacon, APRN-C
2995 Drew St Fl 2,
Clearwater, FL 33759-3012

Ph: (727) 532-1355		Mrs Nickole Aimee Bacon, APRN-C
630 Pasadena Ave S,
St Petersburg, FL 33707-2128

Ph: (727) 360-1784

Reviews and Comments


Nurse Practitioner Nurses in St Petersburg, FL

Susan Buffington,
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Phone: 727-767-3318    Fax: 727-767-8002
Brittany Easter Bower, ARNP
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Practice Location: 501 6th Ave S, St Petersburg, FL 33701
Phone: 727-767-4313    Fax: 727-767-4391
Megan Deedrich, FNP-BC
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Joanne Elizabeth Sastamoinen, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-456-0750    Fax: 727-456-0751
Mrs. Shanna Ann Sherman, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 601 5th St S, Suite 605, St Petersburg, FL 33701
Phone: 727-822-4300    Fax: 727-456-1399

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.