WALLINE T BASS (N.P.) – Family Nurse Practitioner, NPI 1548364755

WALLINE T BASS (N.P.) is a healthcare provider. based in Decatur, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN102335 (GA). The NPI Number for WALLINE T BASS (N.P.) is 1548364755

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
WALLINE T BASS (N.P.)
NPI
1548364755
Phone
(404) 276-0926
Address
1904 N CROSSING WAY
Enumeration Date
8 September 2006
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7066478111
Graduation Year
2001 (25 years ago)
PAC ID
2769430933
Group Practice PAC ID
4486903176
Professional Enrollment ID
I20050105000402
Address ID
GA302863426TH801XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for WALLINE T BASS (N.P.)

  • 1904 N CROSSING WAY

    DECATUR, GA 300334171

    Phone: (404) 276-0926

    Type: Mailing

  • Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States

    SUITE 207

    ATLANTA, GA 303224200

    Phone: (404) 778-4451

    Fax: (404) 778-4355

    Type: Location

  • 200 CORPORATE BLVD

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Inari Medical, Inc. ($29).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

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: 2018-10-01

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
I20050105000402INurse PractitionerGATBD
I20181001003287INurse PractitionerALTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5835$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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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: 4486903176View full group profile

Reviews

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Frequently asked questions

Is there an official ID for WALLINE T BASS (N.P.) in U.S. healthcare records?
The official identifier for WALLINE T BASS (N.P.) is NPI 1548364755.
Would WALLINE T BASS (N.P.) appear as active to a payer?
You can treat WALLINE T BASS (N.P.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with WALLINE T BASS (N.P.)?
WALLINE T BASS (N.P.)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WALLINE T BASS (N.P.)?
Travel planning: use Decatur, Georgia as the reference point for WALLINE T BASS (N.P.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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