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

Carley Jean Bacon, PA-C

Individual provider Surgical Physician Assistant · NPI 1316417157

Carley Jean Bacon, PA-C is a Physician Assistant in Cambridge, Minnesota. Qualified in 2018, 8 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

701 Dellwood St S
Cambridge, MN 55008-1920
Phone: (763) 689-8700
Fax: (763) 688-7941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 — (214) 369-5432

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA12540 (TX)

Record details

NPI number1316417157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare