Kelly Bacon
NPI 1700844313 · Certified Registered Nurse Anesthetist · Idabel, OK
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Bacon is a Certified Registered Nurse Anesthetist provider in Idabel, OK (NPI 1700844313).
Provider details
- NPI number
- 1700844313
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R0071221 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
185 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Shock Wave Therapy for Urinary System Stones Without Water Bath00873 | 40 | $156 |
| Anesthesia for Other Procedure on Large Bowel Using an Endoscope00811 | 34 | $122 |
| Anesthesia for Lens Surgery00142 | 32 | $90 |
| Anesthesia for Procedure on Small and Large Bowel Using an Endoscope00813 | 28 | $149 |
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 19 | $137 |
| Anesthesia for Exam of Colon Using an Endoscope00812 | 17 | $100 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Frequently asked questions
- What is Kelly Bacon's NPI number?
- Kelly Bacon's National Provider Identifier (NPI) is 1700844313, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bacon's specialty?
- Kelly Bacon is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Bacon located?
- Kelly Bacon's practice location on file with NPPES is 1301 E Lincoln Rd, Idabel, OK 74745-7300.
- What is Kelly Bacon's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bacon is (580) 286-7623.
- Does Kelly Bacon accept Medicare?
- Kelly Bacon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Bacon's NPI active?
- Yes — Kelly Bacon's NPI (1700844313) is active in the NPPES registry as of the last update on 2021-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.