Mrs. Nickole Aimee Bacon is a Tampa, Florida based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Nickole Aimee Bacon is APRN9365609 for Family in Florida. Her current practice location is 3301 W Gandy Blvd, Tampa. Patients can reach her at 813-925-1903 or can fax her at 813-749-8370. Mrs. Nickole Aimee Bacon is APRN-C and her NPI number (Unique professional ID assigned by NPPES) is 1215432224. Mrs. Nickole Aimee Bacon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Nickole Aimee Bacon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5092079533
Enrollment ID:
I20180508002407
NPI Number:
1215432224
NPI Enumeration Date:
30 Mar, 2018
NPI Last Update On:
29 May, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Nickole Aimee Bacon are as mentioned below.
License Number
Specialization
State
Status
APRN9365609
Family
Florida
Primary
APRN9365609
Nurse Practitioner
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100150)
Key west, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Nickole Aimee Bacon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Vmd Primary Providers Central Florida Pllc (2860806197)
127
Womankind, Inc. (2264601053)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Nickole Aimee Bacon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
024515800
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.