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

Mrs. Nickole Aimee Bacon, APRN-C

Individual provider Nurse Practitioner · NPI 1215432224

Mrs. Nickole Aimee Bacon, APRN-C is a Nurse Practitioner in Tampa, Florida. Qualified in 2017, 9 years ago. Practices with Synergic Healthcare Solutions LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone: (813) 925-1903
Fax: (813) 749-8370
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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 APRN9365609 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN9365609 (FL)

Record details

NPI number1215432224
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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 Synergic Healthcare Solutions Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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