Individual Healthcare Provider
Angel Bacon, FNP
Provider's NPPES record last updated: June 18, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1619677481
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Aylett, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 12:08 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Virginia)
- 0024186663
Practice Locations
Practice Location
4917 Richmond Tappahannock Hwy Ste 18
Aylett, Virginia 23009-3416
Phone: (804) 769-1245
Additional Practice Location
2603 Nine Mile Road
Ste 110
Richmond, Virginia 23223
Phone: (804) 877-8325
Additional Practice Location
300 Mt Clement Park Ste C
Tappahannock, Virginia 22560-5098
Phone: (804) 443-6030
Additional Practice Location
1250 E Marshall St
Richmond, Virginia 23298-5023
Phone: (804) 769-1245
Record Information
- Enumeration Date
- March 9, 2023
- Provider's NPPES Record Last Updated
- June 18, 2026
- Certification Date
- June 18, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue