MS. MAKYNZIE NOEL BASS (PA-C) – Physician Assistant, NPI 1821620816

MS. MAKYNZIE NOEL BASS (PA-C) is a healthcare provider. based in Blountstown, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9113000 (FL). The NPI Number for MS. MAKYNZIE NOEL BASS (PA-C) is 1821620816

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. MAKYNZIE NOEL BASS (PA-C)
NPI
1821620816
Phone
(850) 841-0528
Address
20196 NE HENTZ AVE
Enumeration Date
7 February 2020
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506383400
Graduation Year
2019 (7 years ago)
PAC ID
6002244647
Group Practice PAC ID
2668363771
Professional Enrollment ID
I20200317000100
Address ID
FL324285966CH1410XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MS. MAKYNZIE NOEL BASS (PA-C)

  • 20196 NE HENTZ AVE

    BLOUNTSTOWN, FL 324241083

    Phone: (850) 841-0528

    Type: Mailing

  • 1355 THOMASWOOD DR

    TALLAHASSEE, FL 323087915

    Phone: (850) 656-4555

    Type: Location

  • PO BOX 889

    CHIPLEY, FL 324280889

    Phone:

    Type: Mailing

  • 5429 COLLEGE DR

    GRACEVILLE, FL 324401858

    Phone: (850) 263-0639

    Type: Location

  • 5551 US-98

    SANTA ROSA BEACH, FL 324591083

    Phone: (850) 841-0528

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($35).

Total Amount

$157

General + Research + Ownership

Payments

9

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-03-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200317000100IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32424)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668363771View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Internal MedicineAL
Nurse PractitionerFL
Nurse PractitionerAL
Nurse PractitionerFL
Emergency Medicine, General PracticeFL
Family Practice, Emergency Medicine, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)NC
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find MS. MAKYNZIE NOEL BASS (PA-C)'s NPI?
You can confirm MS. MAKYNZIE NOEL BASS (PA-C) with NPI 1821620816; it appears in the national provider directory.
Is MS. MAKYNZIE NOEL BASS (PA-C) active in the national directory?
MS. MAKYNZIE NOEL BASS (PA-C)'s public NPI profile is in an active state.
What field does MS. MAKYNZIE NOEL BASS (PA-C) work in?
You can think of MS. MAKYNZIE NOEL BASS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MS. MAKYNZIE NOEL BASS (PA-C)?
We surface Blountstown, Florida for MS. MAKYNZIE NOEL BASS (PA-C) based on available NPPES addresses.
How can I contact MS. MAKYNZIE NOEL BASS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.