Emma Bacon
Individual provider Active NPI Physician Assistant · Terre Haute, IN
NPI 1669322939 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1669322939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 567 N 5TH St
Terre Haute, IN 47809-1903 - Phone
- (616) 292-9228
- NPI assigned
- Jan 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
567 N 5TH St
Terre Haute, IN 47809-1903
Mailing address
4915 Tiamo LN NE
Rockford, MI 49341-7714
Phone (616) 292-9228
Other providers in Terre Haute, IN
- Axzons Healthcare Corp
- Axzons Laboratories Corp
- Robert A Ayres
- B. & M. D Transportation LLC
- Jonah Backfish
- Mohammed Hasan Badahman
- Baikal Surgical Specialists LLC
- Brock A. Bailey
- Jessica Jane Bailey
- Brandi Leigh Baker
All providers in Terre Haute, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.