Kelly Bacon
Certified Registered Nurse Anesthetist · Idabel, OK
Kelly Bacon is a certified registered nurse anesthetist with a practice address in Idabel, Oklahoma, and NPI 1700844313, issued on May 3, 2006. Check the license (Oklahoma R0071221, as entered in NPPES) with the Oklahoma board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Bacon
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- R0071221 OK
Self-reported in NPPES; status is on the state search - Practice location
- 1301 E Lincoln RD, Idabel, OK 74745
- Phone
- (580) 286-7623
- Enumerated
- May 3, 2006
- Record last updated
- Oct 26, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20211101001542); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 783 in Oklahoma → Look up another NPI →
Also registered at 1301 E Lincoln RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jordyn Guest, CCC-SLPSpeech-Language Pathologist1588407084
- Ashlei JobeAdult Health Nurse Practitioner1679013676
- Stephen Karman, MDInternal Medicine Physician1255393476
- Carol Kerr, M.D.Adult Medicine Physician1225354400
Verify Kelly Bacon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
Search for license R0071221Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Western Oklahoma Anesthesia Consultants PLLCWeatherford, OK
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Bacon among 783 certified registered nurse anesthetist records in Oklahoma
Kelly Bacon is one of 783 certified registered nurse anesthetist records with a practice address in Oklahoma. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 70% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated2003 · median 2014 among the 595 with a school on file
- Record last updated2021 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Certified Registered Nurse Anesthetist providers in Oklahoma
There are 783 certified registered nurse anesthetist records in Oklahoma.
All 783 in Oklahoma → Every provider in Idabel → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Yessenia ZentenoIdabel, OK 747451285466425
- Nicki Foxx, CRNAValliant, OK 747641457380750
- Grant Roesler, CRNADurant, OK 747021528019569
- Robert Austin, CRNADurant, OK 747011972778868
- Sean KlufaDurant, OK 747011306317078
- Blake Ridgway, CRNADurant, OK 747011649717091
- Nicole Alvarez, CRNAShawnee, OK 748041730404989
- Michael HeonShawnee, OK 748041568320091
Common questions
What is Kelly Bacon's NPI number?
Kelly Bacon's National Provider Identifier (NPI) is 1700844313, issued on May 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Bacon located?
The NPPES record lists a practice address at 1301 E Lincoln RD, Idabel, OK, 74745. Phone: (580) 286-7623. Providers update this record themselves, so call before visiting.
How can I verify Kelly Bacon's license?
NPPES lists Oklahoma license number R0071221, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.