IndividualActive
Marissa Bacon
NPI 1740788306 · Specialist · Oswego, NY
Marissa Bacon is a Specialist provider in Oswego, NY (NPI 1740788306).
Provider details
- NPI number
- 1740788306
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2535489 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
159 W 1st St
Oswego, NY 13126-2045
Phone: (315) 342-9575
Street-level locationGet directions
Mailing address
116 Main St
Hermon, NY 13652-3174
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2018-01-30
Frequently asked questions
- What is Marissa Bacon's NPI number?
- Marissa Bacon's National Provider Identifier (NPI) is 1740788306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Bacon's specialty?
- Marissa Bacon is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Marissa Bacon located?
- Marissa Bacon's practice location on file with NPPES is 159 W 1st St, Oswego, NY 13126-2045.
- What is Marissa Bacon's phone number?
- The practice phone number listed in the NPPES registry for Marissa Bacon is (315) 342-9575.
- Is Marissa Bacon's NPI active?
- Yes — Marissa Bacon's NPI (1740788306) is active in the NPPES registry as of the last update on 2018-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.