NPI
Stacey E Bacon
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- NP-C
- Type
- Individual
- Enumeration date
- 2008-09-25
- Last updated
- 2020-02-07
Specialties
Licenses
- License MO
- 2004015211
- License KS
- 75561
Location
- Practice location
- 1701 S Broadway St
- City
- Pittsburg KS
- Postal code
- 66762-5856
- Phone
- (620) 235-4452
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Pittsburg, KS. 715 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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