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Ciera Renee Bacon

Speech-Language Pathologist β€’ Otsego, MN

Active NPI 1437723897 Individual Practitioner Female Practitioner
Practice location in NPPES

15590 90th St Ne
Otsego, MN 553309452

Call 7637554275 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15590 90th St Ne

Otsego, MN 553309452

Telephone 7637554275
Organization at the Same NPPES Address or Phone
Family Speech & Therapy Services, Llc Facility NPI 1235285966

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ciera Bacon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Otsego and Minnesota

11 active clinicians are listed under Speech-Language Pathologist with a practice address in Otsego, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Otsego

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20250626002875

Enrollment State Jurisdiction

MN

PECOS Control ID

1153833827

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 05, 2025

Registered at 15590 90TH ST NE, OTSEGO, MN 553309452 (Tel: 7637554275)

πŸ“
Updated Business Mailing Address May 05, 2025

Registered at 15590 90TH ST NE, OTSEGO, MN 553309452 (Tel: 7637554275)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2025

Speech-Language Pathologist

βœ…
NPI Profile Active May 19, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2021

Registered at 205 14TH AVE E, SARTELL, MN 563774500 (Tel: 3207743436)

πŸ“
Business Mailing Address (Initial Record) May 19, 2021

Registered at 205 14TH AVE E, SARTELL, MN 563774500 (Tel: 3207743436)

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2021

Recorded as CIERA BACON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration May 19, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437723897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2021
Last Update: May 05, 2025
Sole Proprietor: No

Mailing Address

15590 90th St Ne

Otsego, MN 553309452

Phone: 7637554275

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.