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

Katie Lynn Bacon, PA-C

Individual provider Physician Assistant · NPI 1952017519

Katie Lynn Bacon, PA-C is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2022, 4 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3745 Holland Rd Ste 200
Virginia Beach, VA 23452-2866
Phone: (757) 395-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009105 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 1180756 (VA)

Record details

NPI number1952017519
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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