NPIMap

Individual provider Active NPI

Jeffrey Paul Bacon, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Reno, NV
National Provider Identifier
1215910757
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
8951 Issued in NV
Practice address
5442 Longley LN
Reno, NV 89511-3297
Phone
(775) 770-7600
Fax
(775) 770-7880
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8951 NV
Pulmonary Disease Physician 207RP1001X 8951 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 8951 NV Primary

Addresses

Primary practice location

5442 Longley LN
Reno, NV 89511-3297

Mailing address

5442 Longley LN
Reno, NV 89511-3297
Phone (775) 770-7600

Other identifiers 1

IdentifierTypeStateIssuer
002016729MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000565 NV Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5597758805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5442 Longley LN
Reno, NV 89511-3297
Phone (775) 360-6283

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as individual
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
47.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8951NVMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Marys Medical Group Inc. Critical Care Medicine Current Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Feb 2, 2015 Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Feb 2, 2015 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Pulmonary Medicine Associates Critical Care Medicine Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

645 N Arlington Ave
Ste 555
Reno, NV 89503
Phone (775) 770-7348

645 N Arlington Ave
Ste 525
Reno, NV 89503
Phone (775) 770-7664

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

343 Elm St
Ste 402
Reno, NV 89503
Phone (702) 322-4100

Interoperability endpoints

  • Direct secure messaging: jeffrey.bacon.p1@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1215910757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113297",
            "telephone_number": "775-770-7600",
            "fax_number": "775-770-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113297",
            "telephone_number": "775-770-7600",
            "fax_number": "775-770-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8951",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "8951",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "8951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016729",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.