Mary Elizabeth Bacon, RN BSN CCM
NPI 1407670987ActiveIndividual· Registered Nurse, Case Management· Portsmouth, VA
Registered Nurse, Case Management (RN BSN CCM) in Portsmouth, Virginia, licensed in VA, with an NPI issued in November 2024.
Overview
| NPI | 1407670987 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN BSN CCM |
| Sole proprietor | Yes |
| NPI issued | Nov 12, 2024 |
| Last updated in NPPES | Nov 12, 2024 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Case Management Primary | 163WC0400X | 0001078291 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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