Individual provider Active NPI

Angela Marie Bacon, CRNA

  • Certified Registered Nurse Anesthetist
  • Wexford, PA
National Provider Identifier
1235873449
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN593231 Issued in PA
Practice address
12351 Perry Hwy
Wexford, PA 15090-8344
Phone
(412) 359-6581
Fax
(412) 359-3483
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 139305 FL
Certified Registered Nurse Anesthetist 367500000X RN593231 PA Primary

Addresses

Primary practice location

12351 Perry Hwy
Wexford, PA 15090-8344

Mailing address

3205 Grand Ave Apt 408
Pinellas Park, FL 33782-6145
Phone (412) 908-3972

Other practice location 1

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230313002722 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789058843 Reassigns benefits to 1 organization
I20230919000580 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789058843 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny Clinic 2,313 clinicians
North American Partners in Anesthesia, Pennsylvania , LLC 302 clinicians
University of Pittsburgh Physicians 4,166 clinicians

Practice addresses (Care Compare)

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 652-3000

815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 383-3200

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
139305FLMDCertified Registered Nurse Anesthetist
RN593231PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 6, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 6, 2025 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 7, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Allegheny Clinic CurrentSince Nov 13, 2024 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Nov 30, 2022 Accepting new patients
Butler Medical Providers CurrentSince Apr 8, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Apr 8, 2024 Accepting new patients
Allegheny Clinic CurrentSince Nov 13, 2024 Accepting new patients
Anesthesia Patient Services of Pennsylvania LLC Past Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

51 Dutilh Rd
Ste 100
Cranberry Twp, PA 16066
Phone (412) 683-4504

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

200 State St
Erie, PA 16507
Phone (814) 453-3900

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1235873449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 GRAND AVE APT 408",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826145",
            "telephone_number": "412-908-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11375 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135409",
            "country_code": "US",
            "telephone_number": "352-596-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "139305",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN593231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.