Jessica Anne Bacon, CNM
Individual provider Active NPI Advanced Practice Midwife · Nashua, NH
NPI 1053663880 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1053663880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 048175-23 (NH)
- Practice address
- 2300 Southwood Dr
Dartmouth Hitchcock - OB/GYN
Nashua, NH 03063 - Phone
- (603) 577-3407
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130318000033 | NH | Practitioner - Certified Nurse Midwife (CNM) | 6103061312 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12100354 | NH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Current |
Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170
168 Kinsley St
Ste 19
Nashua, NH 03060
Phone (603) 595-3951
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212
Interoperability endpoints
- bacon.jessica.wdh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 12100354 | NH | |
| Advanced Practice Midwife | 367A00000X | 048175-23 | NH | Yes |
Addresses
Primary practice location
2300 Southwood Dr
Dartmouth Hitchcock - OB/GYN
Nashua, NH 03063
Mailing address
2300 Southwood Dr
Dartmouth Hitchcock - OB/GYN
Nashua, NH 03063
Phone (603) 577-3407
Other practice location 1
15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone (603) 749-4963
Other practice location 2
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-9355
Other practice location 3
311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578854287 | Other | NH | GROUP NPI |
| 3081928 | Medicaid | NH |
Other providers in Nashua, NH
- Saeedeh Azary
- Azimuth Healing and Counseling LLC
- Lydia Azuma
- Mattingly Babb
- Ellen Bachrach
- Gabriella Karas Baczynski
- Nancy Baddaoui
- Mark Baddeley
- Kimberly D Badessa
- Christine A. Baer
All providers in Nashua, NH · Advanced Practice Midwife in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.