Active NPI
Ramona Bacon, NP
- Family Nurse Practitioner
- New Smyrna Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9376252
- Practice address
- 401 Palmetto St
New Smyrna Beach, FL 32168-7322 - Phone
- (386) 424-5038
- NPI assigned
- Feb 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
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.
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Prosthetic/Orthotic Supplier
- Orlando, FL
- NPI 1114731239
-
- Prosthetic/Orthotic Supplier
- Oviedo, FL
- NPI 1184581449
-
- Prosthetic/Orthotic Supplier
- Winter Park, FL
- NPI 1265246383
-
- Prosthetic/Orthotic Supplier
- Orlando, FL
- NPI 1366256489
-
- Prosthetic/Orthotic Supplier
- Davenport, FL
- NPI 1417762519
-
- Prosthetic/Orthotic Supplier
- Orlando, FL
- NPI 1841004959
-
- Prosthetic/Orthotic Supplier
- Winter Garden, FL
- NPI 1861207953
-
- Prosthetic/Orthotic Supplier
- Lake Mary, FL
- NPI 1881408904
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
Hospital & facility affiliations
- Adventhealth New Smyrna Beach
- Adventhealth Daytona Beach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161222000394 | FL | Practitioner - Nurse Practitioner | 7810127875 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189981 | TN | MD | Registered Nurse |
| 18401 | TN | MD | Obstetrics & Gynecology Physician |
| APRN9376252 | FL | MD | Family Nurse Practitioner |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
806 S Douglas Rd
Ste 820
Coral Gables, FL 33134
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- rbacon71495@adventhealth.direct-ci.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 189981 | TN | |
| Family Nurse Practitioner | 363LF0000X | 18401 | TN | |
| Family Nurse Practitioner | 363LF0000X | APRN9376252 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 Palmetto St
New Smyrna Beach, FL 32168-7322
Mailing address
401 Palmetto St
New Smyrna Beach, FL 32168-7322
Phone (386) 424-5038
Other practice location 1
111 W Stone Dr
Suite 100
Kingsport, TN 37660-6027
Phone (423) 247-5197
Other practice location 2
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2023.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1366865875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PALMETTO ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687322",
"telephone_number": "386-424-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PALMETTO ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687322",
"telephone_number": "386-424-5038"
}
],
"practiceLocations": [
{
"address_1": "111 W Stone Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606027",
"country_code": "US",
"telephone_number": "423-247-5197",
"fax_number": "423-247-5254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 W Plymouth Ave",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327203236",
"country_code": "US",
"telephone_number": "386-943-4522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACON",
"first_name": "RAMONA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "189981",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18401",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9376252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.