Deidra Bacon, APRN, FNP-BC

NPI: 1700020369

Deidra Bacon, APRN, FNP-BC

Q: What is Deidra Bacon's NPI number?

Deidra Bacon's NPI number is 1700020369, a unique 10-digit identifier issued by CMS.

Q: What does Deidra Bacon specialize in?

Deidra Bacon specializes in Nurse Practitioner, taxonomy code 363L00000X.

Q: Where does Deidra Bacon practice?

Deidra Bacon practices in St George, UT 84790-2123.

Q: When was Deidra Bacon's NPI issued?

Deidra Bacon's NPI was issued on April 27, 2009.

Q: What is Deidra Bacon's provider type?

Deidra Bacon is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: April 27, 2009

Quick Facts

NPI Number

1700020369

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363L00000X — Nurse Practitioner

Phone

(435) 688-4293

StateUT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1700020369)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 27, 2009)

Data source: CMS NPPES

Provider Overview

DEIDRA BACON, APRN, FNP-BC is a Nurse Practitioner provider based in St George, UT who has been registered with CMS since 2009. They are affiliated with Bluemark Llc / Office Ally. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1700020369

Provider TypeIndividual Provider

GenderFemale

CredentialAPRN, FNP-BC

StatusActive

Enumeration DateApril 27, 2009

Practice Location

CitySt George

StateUT

ZIP Code84790-2123

Phone(435) 688-4293

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363L00000X

License StateUT

Mailing Address

CitySt George

StateUT

ZIP Code84790-2123

Phone(435) 688-4293

Same as practice location

Hospital & Organization Affiliations

🏢

Bluemark Llc / Office Ally

📍 Vancouver, WA

Hospital NPIY→

How to Use This NPI

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For Insurance Billing

Use NPI 1700020369 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1700020369for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1700020369 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →

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