Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Rebecca Bacon-Ford

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760789143

Amy Rebecca Bacon-Ford is a Nurse Practitioner in Manchester, New Hampshire. Qualified in 2023, 3 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
3
Licensed in
NH
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1 Elliot Way
Manchester, NH 03103-3502
Phone: (603) 663-2766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 072006-23 (NH)
General Acute Care Hospital Taxonomy 282N00000X

Record details

NPI number1760789143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2011
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manchester