JACLYN BACON FNP-C
NPI 1265716344
Nurse Practitioner - Family in Mesa, AZ

NPI Status: Active since October 06, 2011

Contact Information

10238 E HAMPTON AVE
SUITE 202
MESA, AZ
ZIP 85209
Phone: (623) 512-4390
Fax: (623) 512-4391

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  • Individual
  • Female
  • Years of Experience 15
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACLYN BACON

This page provides the complete NPI Profile along with additional information for Jaclyn Bacon, a provider established in Mesa, Arizona with a medical specialization in Nurse Practitioner, focusing in family and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1265716344 assigned on October 2011. The practitioner's primary taxonomy code is 363LF0000X with license number AP4198 (AZ). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1265716344
Provider Name
JACLYN BACON FNP-C
Gender
Female
Entity Type
Individual
Location Address
10238 E HAMPTON AVE SUITE 202 MESA, AZ 85209
Location Phone
(623) 512-4390
Location Fax
(623) 512-4391
Mailing Address
10238 E HAMPTON AVE SUITE 202 MESA, AZ 85209
Mailing Phone
(623) 512-4390
Mailing Fax
(623) 512-4391
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
10-06-2011
Last Update Date
03-15-2013
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A nurse practitioner (NP) like Jaclyn Bacon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP4198
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple PCP Saver - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jaclyn Bacon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jaclyn Bacon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 840436986

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130416000701

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.47 for a new patient copayment and $24.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85209 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265716344
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251411238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 4 + 1 + 1 + 2 + 3 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1265716344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275582132MR. CHRISTOPHER S LICHTENWALTER M.D.
Individual
Internal Medicine (Cardiovascular Disease)10238 E HAMPTON AVE SUITE 501
MESA, AZ 85209
(480) 889-1573
1699973628MIND CLINIC INC
Organization
Psychiatry & Neurology (Neurology)10238 E HAMPTON AVE SUITE 205
MESA, AZ 85209
(480) 354-6463
1285961243NALINI BHALLA MD PLLC
Organization
Family Medicine10238 E HAMPTON AVE SUITE 205
MESA, AZ 85209
(602) 499-1929
1538490628M A UDDIN MD LLC
Organization
Internal Medicine (Nephrology)10238 E HAMPTON AVE SUITE 305
MESA, AZ 85209
(480) 553-9277
1477872786MRS. MICHELLE LEIGH PANDE MICHELLE PANDE NP-C
Individual
Nurse Practitioner (Adult Health)10238 E HAMPTON AVE SUITE 202
MESA, AZ 85209
(480) 399-2002
1134473838EAST VALLEY MEDICAL GROUP, INC.
Organization
General Practice10238 E HAMPTON AVE SUITE 212
MESA, AZ 85209
(480) 632-2004
1033543749AKDHC, LLC
Organization
Internal Medicine (Nephrology)10238 E HAMPTON AVE SUITE 504
MESA, AZ 85209
(480) 553-9277
1881012144ARIZONA HOSPITAL SPECIALISTS, PLLC
Organization
Anesthesiology (Pain Medicine)10238 E HAMPTON AVE 205
MESA, AZ 85209
(480) 766-9479
1598843831MRS. KRISTIN KAY BABB PA
Individual
Physician Assistant (Medical)10238 E HAMPTON AVE SUITE 501
MESA, AZ 85209
(480) 889-1573
1750789079 JASMINE TURNER
Individual
Nurse Practitioner (Family)10238 E HAMPTON AVE 508
MESA, AZ 85209
(480) 984-8892
1275724452DR. VIDHYALAKSHMI KANNAN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)10238 E HAMPTON AVE
MESA, AZ 85209
(480) 257-2669
1336500198MOUNTAIN VISTA MEDICAL GROUP PLLC
Organization
Specialist10238 E HAMPTON AVE SUITE 205
MESA, AZ 85209
(480) 984-5600
1154874790MRS. CARISSA NORIEGA FNP-C
Individual
Nurse Practitioner10238 E HAMPTON AVE #507
MESA, AZ 85209
(480) 821-3616
1831255918CARDIAC ARRHYTHMIA INSTITUTE LLC
Organization
Internal Medicine (Cardiovascular Disease)10238 E HAMPTON AVE SUITE 501
MESA, AZ 85209
(480) 889-1573
1407065220 I-HUI CHIANG MD
Individual
Internal Medicine (Interventional Cardiology)10238 E HAMPTON AVE STE 501
MESA, AZ 85209
(480) 889-1573
1932749546PHYSICIAN GROUP OF ARIZONA INC
Organization
Orthopaedic Surgery10238 E HAMPTON AVE SUITE 301-A
MESA, AZ 85209
(602) 553-3113
1124522792FYK MED PLLC
Organization
Internal Medicine10238 E HAMPTON AVE
MESA, AZ 85209
(480) 354-6463
1033373386DR. ALAELDIN ABDALLA ELTOM MD
Individual
Internal Medicine (Interventional Cardiology)10238 E HAMPTON AVE SUITE 501
MESA, AZ 85209
(480) 889-1573
1629149422DR. DEBORAH S ROWAN MD
Individual
Obstetrics & Gynecology10238 E HAMPTON AVE STE 507
MESA, AZ 85209
(480) 821-3616
1164775698ARIZONA GASTRO CARE PLLC
Organization
Internal Medicine (Gastroenterology)10238 E HAMPTON AVE #305
MESA, AZ 85209
(480) 553-9277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265716344, enumerated in the NPI registry as an "individual" on October 06, 2011

The provider is located at 10238 E Hampton Ave Suite 202 Mesa, Az 85209 and the phone number is (623) 512-4390

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 15 years of experience.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $98 and an average copayment of 24.5. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on October 06, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.