Individual provider Active NPI

Jessica Anne Bacon, CNM

  • Advanced Practice Midwife
  • Nashua, NH
National Provider Identifier
1053663880
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
048175-23 Issued in NH
Practice address
2300 Southwood Dr
Dartmouth Hitchcock - OB/GYN
Nashua, NH 03063
Phone
(603) 577-3407
NPI assigned
Oct 3, 2012
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 12100354 NH
Advanced Practice Midwife 367A00000X 048175-23 NH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130318000033 NH Practitioner - Certified Nurse Midwife (CNM) 6103061312 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
12100354NHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Nov 12, 2018 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Nov 12, 2018 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 16, 2019 Accepting new patients
Memorial Hospital CurrentSince Mar 2, 2026 Accepting new patients
Memorial Hospital CurrentSince Mar 2, 2026 Accepting new patients
Memorial Hospital CurrentSince Mar 2, 2026 Accepting new patients

Locations

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

168 Kinsley St
Ste 19
Nashua, NH 03060
Phone (603) 595-3951

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

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

  • Direct secure messaging: bacon.jessica.wdh@direct.partners.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1053663880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTHWOOD DR",
            "address_2": "DARTMOUTH HITCHCOCK - OB/GYN",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-577-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTHWOOD DR",
            "address_2": "DARTMOUTH HITCHCOCK - OB/GYN",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-577-3407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Old Rollinsford Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202869",
            "country_code": "US",
            "telephone_number": "603-749-4963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-9355",
            "fax_number": "603-356-8843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781522",
            "country_code": "US",
            "telephone_number": "603-749-2346",
            "fax_number": "603-953-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "12100354",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "048175-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.