Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164930616 Individual Practitioner Female Practitioner

Kaela Bacon , PA

Physician Assistant • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kaela Bacon, PA is a certified Physician Assistant practicing in Tampa, FL. With approximately 9 years of clinical experience since completing medical education in 2017, Kaela Bacon delivers high-quality medical care to the local community at 12902 USF MAGNOLIA DR.

Kaela Bacon maintains professional affiliations with Fmc Urgent Care Llc, H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include total removal of breast, established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12902 Usf Magnolia Dr

Tampa, FL 336129416

Telephone 8137457365
Fax 8134498618
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tampa, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +0.7 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
855 Specialists

Practicing in Tampa, FL (10376 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bacon (9 Years) 9 Yrs
Tampa Specialty Average (8.3 Years) 8.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
19303 Total removal of breast
13 13 $2994.38 $148.72
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $229.00 $74.86

Medical Specialties & State Licenses

CMS Verified: 2025-08-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9110761

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc

12902 Usf Magnolia Dr, Tampa, FL 336129416

Phone: 8888602778

H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc

10901 Mckinley Dr, Tampa, FL 336126455

Phone: 8137454673

Fmc Urgent Care Llc

2352 Bruce B Downs Blvd, Wesley Chapel, FL 335449203

Phone: 8139293600

Fmc Urgent Care Llc

38135 Market Square Dr, Zephyrhills, FL 335427505

H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc

10920 Mckinley Dr, Tampa, FL 336126471

Phone: 8137456461

Fmc Urgent Care Llc

38105 Market Square Dr, Zephyrhills, FL 335427505

Phone: 8137150374

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Asti Rego , APRN

Nurse Practitioner

NPI 1003332685

Advanced Practice Registered Nurse

Dr. Niema Razavian , MD

Radiology - Radiation Oncology

NPI 1003376161

Doctor of Medicine (M.D.)

Dr. Sadhvi Batra , MD

Obstetrics & Gynecology

NPI 1003471020

Doctor of Medicine (M.D.)

Dr. Jing Wang , MD

Pathology - Anatomic Pathology

NPI 1003485590

Doctor of Medicine (M.D.)

Taryn Raval , APRN

Nurse Practitioner

NPI 1003585209

Advanced Practice Registered Nurse

Dr. Les Folio , DO

Radiology - Diagnostic Radiology

NPI 1003840570

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 02, 2025

Registered at 12902 USF MAGNOLIA DR, TAMPA, FL 336129416 (Tel: 8137457365)

📍
Updated Business Mailing Address June 02, 2025

Registered at PO BOX 198441, ATLANTA, GA 303848441 (Tel: 8137457365)

👤
Provider Name / Credentials Updated December 31, 2020

Recorded as KAELA BACON, PA

📍
Updated Practice Location July 15, 2020

Registered at 2352 BRUCE B DOWNS BLVD STE 101, WESLEY CHAPEL, FL 335449203 (Tel: 8139293600)

📍
Updated Business Mailing Address July 15, 2020

Registered at 38135 MARKET SQ, ZEPHYRHILLS, FL 335427505 (Tel: 3525670188)

NPI Profile Active January 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2018

Registered at 15320 AMBERLY DR STE A, TAMPA, FL 336471647 (Tel: 8139772090)

📍
Updated Business Mailing Address January 18, 2018

Registered at 15320 AMBERLY DR STE B, TAMPA, FL 336471647

👤
Provider Name / Credentials Updated January 18, 2018

Recorded as KAELA NASSIEF, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2018

Physician Assistant (License #PA9110761 in FL)

🟢
Initial NPI Registration & Enumeration January 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164930616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2018
Last Update: August 07, 2025
Sole Proprietor: No

Mailing Address

Po Box 198441

Atlanta, GA 303848441

Phone: 8137457365

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.