Candice Elaine Bacon, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Louisville, KY
NPI 1417599200 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1417599200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 3014174 (KY)
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1800 - Phone
- (502) 629-8000
- NPI assigned
- Oct 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Capital Anesthesia Solutions of Kentucky LLC
University of Kentucky
Practice addresses (Care Compare)
305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441
800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000
Hospital & facility affiliations
- University of Kentucky Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200211001707 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8123454105 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203898 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current |
Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Capital Anesthesia Solutions of Kentucky LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 203898 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3014174 | KY | Yes |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1800
Mailing address
1404B Lischey Ave
Nashville, TN 37207-5103
Phone (769) 218-7115
Other practice location 1
800 Rose St
Lexington, KY 40536-1800
Phone (859) 323-5956
Other providers in Louisville, KY
- Back on Track Chiropractic
- Back, Body & Beyond Chiropractic PLLC
- Back9Pt & Performance LLC
- Rebecca Willingham Backert
- Danielle Patricia Backes
- Kathy Bacon
- Jeremy Badach
- Brittany Kathleen Badal
- Mary Badami
- Ranya Majdi Baddourah
All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.