NICHOLAS BASS (AGPCNP-BC) – Primary Care Nurse Practitioner, NPI 1982117412

NICHOLAS BASS (AGPCNP-BC) is a healthcare provider. based in Chipley, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 1-144846 (AL). The NPI Number for NICHOLAS BASS (AGPCNP-BC) is 1982117412

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS BASS (AGPCNP-BC)
NPI
1982117412
Phone
(850) 638-1610
Address
1360 Brickyard Rd
Enumeration Date
7 November 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
8628333994
Group Practice PAC ID
8820007016
Professional Enrollment ID
I20181211000468
Address ID
FL324241045BL20370AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NICHOLAS BASS (AGPCNP-BC)

  • 1360 Brickyard Rd

    Chipley, FL 324286303

    Phone: (850) 638-1610

    Type: Location

  • 820 W Washington St

    Eufaula, AL 360271822

    Phone: (334) 688-7000

    Type: Location

  • 126 Hospital Ave

    Ozark, AL 363602018

    Phone: (334) 744-2601

    Type: Location

  • Headland, Henry County, Alabama, 36345, United States

    HEADLAND, AL 363457405

    Phone: (334) 796-7670

    Type: Mailing

  • Mizell Memorial Hospital, 702, North Main Street, Opp, Covington County, Alabama, 36467, United States

    OPP, AL 364671626

    Phone: (334) 493-3541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180607002661INurse PractitionerALTBD
I20181211000468INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making3131$0
99284Emergency department visit with moderate level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 32428)

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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: 8820007016View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
General PracticeFL
Emergency MedicineAL
Family Practice, Emergency MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for NICHOLAS BASS (AGPCNP-BC) in U.S. healthcare records?
The official identifier for NICHOLAS BASS (AGPCNP-BC) is NPI 1982117412.
Would NICHOLAS BASS (AGPCNP-BC) appear as active to a payer?
You can treat NICHOLAS BASS (AGPCNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe NICHOLAS BASS (AGPCNP-BC)'s focus?
For NICHOLAS BASS (AGPCNP-BC), the primary taxonomy reads as Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is NICHOLAS BASS (AGPCNP-BC) registered?
Use Chipley, Florida as the headline location for NICHOLAS BASS (AGPCNP-BC) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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