LOIS ANN BACON — NPI 1285285023 (Licensed & Credentialed Technician, Attendant Care Provider in ANTELOPE, CA)

CMS-1500 Box 24J / 33a • NPI

1285285023

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

3747A0650X

Licensed & Credentialed Technician, Attendant Care Provider

Box 32 Service Location & ZIP+4

3608 KODIAK WAY, ANTELOPE, CA, 95843-2304

✓ 9-Digit EDI 837 ZIP+4 (95843-2304)

Practice Phone & Referral Fax

(916) 627-5426

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285285023 (LOIS ANN BACON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1285285023` (NPI-1 Individual Practitioner)
Provider / Legal Name	LOIS ANN BACON
Plain-English Specialty	Licensed & Credentialed Technician, Attendant Care Provider NUCC Code: `3747A0650X` (Technician, Attendant Care Provider)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3608 KODIAK WAY, ANTELOPE, CA, 95843-2304
Practice Telephone / Fax	Tel: (916) 627-5426
Administrative Mailing Address	3608 KODIAK WAY, ANTELOPE, CA, 95843-2304
Enumeration & Last Sync	Enumerated: 2019-09-23 \| CMS Record Updated: 2019-09-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3608 KODIAK WAY, ANTELOPE, CA, 95843-2304

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Plain-English Taxonomy & CMS Crosswalk (3747A0650X)

What Does Taxonomy Code 3747A0650X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747A0650X translates to:
"Licensed & Credentialed Technician, Attendant Care Provider"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician, Attendant Care Provider for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LOIS ANN BACON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3747A0650X` — Technician, Attendant Care Provider Plain English: Licensed & Credentialed Technician, Attendant Care Provider	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LOIS ANN BACON (NPI #1285285023)