Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mariah Bacon

Individual provider Family Nurse Practitioner · NPI 1083459853

Mariah Bacon is a Nurse Practitioner in Shepherdstown, West Virginia. Qualified in 2023, 3 years ago. Practices with Valley Regional Enterprises, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

301 N King St
Shepherdstown, WV 25443
Phone: (304) 876-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024190164 (VA)

Record details

NPI number1083459853
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 14, 2024

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 Valley Regional Enterprises, Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients187
Services billed 610 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Valley Regional Enterprises, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 54 clinicians in the practice; 12 are shown here.

Other providers in Shepherdstown