Angel Bacon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024186663 Issued in VA

Practice address

4917 Richmond Tappahannock Hwy Ste 18
Aylett, VA 23009-3416

Phone

(804) 769-1245

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

No

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.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  VA

  Medicare reassignment Care Compare group NPD
• Bon Secours Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1265160501

  VA

  Medicare reassignment NPD

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

• Vcu Health Tappahannock Hospital

  • General Acute Care Hospital
  • Tappahannock, VA
  • NPI 1760580757

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCV Associated Physicians 1,779 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

Merit-based Incentive Payment System (MIPS)

Final score

83.95 of 100Reported as group

Quality

69.91

Promoting interoperability

99

Improvement activities

40

Cost

77.42

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adaniels2923917@direct.bsmhealth.org

• Angel Daniels Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2026.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1619677481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 RICHMOND TAPPAHANNOCK HWY STE 18",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093416",
            "telephone_number": "804-769-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-769-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mt Clement Park Ste C",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Nine Mile Road",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "country_code": "US",
            "telephone_number": "804-877-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "ANGEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "DANIELS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Aylett, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.

Verify at the official NPI Registry.