Amy Rebecca Bacon-Ford
NPI 1760789143ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Manchester, NH
Nurse Practitioner, Psych/Mental Health with Elliot Professional Services, practicing in Manchester, New Hampshire. Mostly services rather than prescriptions: Medicare paid $21,202 for 161 patients in 2024, with only 23 Part D claims. Otsuka America Pharmaceutical, Inc. reported $125.00 in payments in 2024, mostly food and beverage. Lists Catholic Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1760789143 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2011 |
| Last updated in NPPES | Aug 4, 2023 |
| Certified by provider | Aug 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 072006-23 | NH |
| General Acute Care Hospital | 282N00000X | — | — |
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) | Enrolled Practitioner - Nurse Practitioner (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 328 across 11 procedure codes |
| Paid by Medicare | $21,202 |
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 25 30-day fills |
|---|---|
| Total drug cost | $449.71 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Elliot Professional ServicesManchester, NH · 427 clinicians
Hospital affiliations
- Catholic Medical CenterManchester, NH
- Elliot HospitalManchester, NH
Industry payments (Open Payments)
- 2024$125.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $125.00 | 1 |
What the 2024 payments were for
- Food and Beverage$125.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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