What is Kelli Bacon's NPI number?

Kelli Bacon's National Provider Identifier (NPI) is 1558056655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelli Bacon's specialty?

Kelli Bacon is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse (Nursing Service Providers).

Where is Kelli Bacon located?

Kelli Bacon's practice location on file with NPPES is 1540 Trinity Pl, Mishawaka, IN 46545-5006.

What is Kelli Bacon's phone number?

The practice phone number listed in the NPPES registry for Kelli Bacon is (574) 272-9000.

Is Kelli Bacon's NPI active?

Yes — Kelli Bacon's NPI (1558056655) is active in the NPPES registry as of the last update on 2023-04-06.

IndividualActive

Kelli Bacon

NPI 1558056655 · General Practice Registered Nurse · Mishawaka, IN

Kelli Bacon is a General Practice Registered Nurse provider in Mishawaka, IN (NPI 1558056655).

Provider details

NPI number: 1558056655
Entity type: Individual
Primary specialty: General Practice Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 28188683A (IN)

Specialties & taxonomies

General Practice Registered NursePrimary163WG0000XLicense 28188683A (IN)
Nursing Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1540 Trinity Pl

Mishawaka, IN 46545-5006

Phone: (574) 272-9000

Street-level locationGet directions

Mailing address