JASMINE NICOLE BASS (FNP-C) – Nurse Practitioner, NPI 1124841903

JASMINE NICOLE BASS (FNP-C) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 249088 (GA). The NPI Number for JASMINE NICOLE BASS (FNP-C) is 1124841903

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JASMINE NICOLE BASS (FNP-C)
NPI
1124841903
Phone
(678) 358-8426
Address
507 BISHOP ST NW APT 2413
Enumeration Date
1 November 2024
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048579575
Graduation Year
2023 (3 years ago)
PAC ID
3173053154
Group Practice PAC ID
0345564472
Professional Enrollment ID
I20250205003060
Address ID
GA301444225KE3250XNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JASMINE NICOLE BASS (FNP-C)

  • 507 BISHOP ST NW APT 2413

    ATLANTA, GA 303184482

    Phone: (678) 358-8426

    Mailing address matches the actual address.

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: 2025-02-05

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
I20250205003060INurse PractitionerGATBD

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 30318)

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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: 0345564472View full group profile

Reviews

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Frequently asked questions

What is JASMINE NICOLE BASS (FNP-C)'s NPI number?
JASMINE NICOLE BASS (FNP-C)'s NPI is 1124841903 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JASMINE NICOLE BASS (FNP-C)?
For scheduling context, JASMINE NICOLE BASS (FNP-C) is shown as active in the registry.
What expertise is attributed to JASMINE NICOLE BASS (FNP-C)?
JASMINE NICOLE BASS (FNP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JASMINE NICOLE BASS (FNP-C) located near Atlanta?
JASMINE NICOLE BASS (FNP-C) currently maps to Atlanta, Georgia in this extract.
When was this NPI issued?
Enumeration for JASMINE NICOLE BASS (FNP-C) is noted as November 1, 2024 where the registry provides it.

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