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

Nickolas Bacon, MD

Individual provider Internal Medicine Physician · NPI 1972172666

Nickolas Bacon, MD is an Internal Medicine in Festus, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy Clinic Adult Hospitalists Jefferson LLC, a 58-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 US Highway 61
Festus, MO 63028-4100
Phone: (636) 933-5337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 10010 Kennerly Rd, Saint Louis, MO 63128-2106 — (314) 525-1328
  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-6339
  • 901 E 5th St, Washington, MO 63090-3127 — (636) 239-8231

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2024001495 (MO)

Record details

NPI number1972172666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address1400 Us Highway 61 Ste H1521, Festus, MO 63028-4100

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic Adult Hospitalists Jefferson Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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