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

Stacey E Bacon, NP-C

Individual provider Family Nurse Practitioner · NPI 1003066085

Stacey E Bacon, NP-C is a Nurse Practitioner in Pittsburg, Kansas. Qualified in 2022, 4 years ago. Practices with Crawford County Mental Health Center, a 13-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
4
Licensed in
KS, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1701 S Broadway St
Pittsburg, KS 66762-5856
Phone: (620) 235-4452
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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 75561 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2004015211 (MO)

Record details

NPI number1003066085
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address1701 S Broadway St, Pittsburg, KS 66762-5856

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Crawford County Mental Health Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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