Active NPI
Angela Marie Bacon, CRNA
- Certified Registered Nurse Anesthetist
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN593231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 ClinicNorth American Partners in Anesthesia, Pennsylvania , LLCUniversity of Pittsburgh Physicians
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139305 | FL | MD | Certified Registered Nurse Anesthetist |
| RN593231 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Medical Management Corp | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Allegheny Clinic | Current | 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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Certified Registered Nurse Anesthetist
- Port Jefferson Station, NY
- NPI 1114502606
Nurse Anesthetist, Certified Registered, PA
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1114927530
-
- Ambulatory Surgical Clinic/Center
- Wexford, PA
- NPI 1124439450
-
- Community/Retail Pharmacy
- Wexford, PA
- NPI 1427451764
-
- Anesthesiology Physician
- Natrona Heights, PA
- NPI 1053416537
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Pittsburgh, PA
- NPI 1225088313
Hospital
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.