Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charla Barefield Bacon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1639697188

Charla Barefield Bacon, FNP-C is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2017, 9 years ago. Practices with Jason Della Vecchia MD PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1018 Chase Dr
Johnson City, TN 37604-1402
Phone: (423) 282-3379
Fax: (423) 430-6227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 926 W Oakland Ave Ste 206, Johnson City, TN 37604-1445 — (423) 282-3379

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22937 (TN)

Record details

NPI number1639697188
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jason Della Vecchia Md Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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