MRS. KATHY DENESE BASS – Acute Care Nurse Practitioner, NPI 1609435239
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MRS. KATHY DENESE BASS
1439, Raiford Road, Starke, Bradford County, Florida, 32091, United States
STARKE, FL 320911425
Phone: (904) 263-9596
Type: Mailing
Lake City Medical Center, 340, Northwest Commerce Drive, Lake City, Columbia County, Florida, 32055, United States
LAKE CITY, FL 320554709
Phone: (800) 507-8874
Type: Location
340 NW Commerce Dr
Lake City, FL 320554709
Phone: (800) 507-8874
Type: Location
PO BOX 170
INTERLACHEN, FL 321480170
Phone: (386) 684-0195
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $273.
Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($52).
Total Amount
$273
General + Research + Ownership
Payments
15
Total payment records
General Amount
$273
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190909004207 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32091)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Family Practice | FL |
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