DR. KATRINA BASSETT (M.D.) – Dermatology Physician, NPI 1700050317

DR. KATRINA BASSETT (M.D.) is a healthcare provider. based in Mill creek, Washington. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD60217371 (WA). The NPI Number for DR. KATRINA BASSETT (M.D.) is 1700050317

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATRINA BASSETT (M.D.)
NPI
1700050317
Phone
(425) 385-2009
Address
15906 MILL CREEK BLVD
Enumeration Date
15 April 2008
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Secondary Phone
4253852009
Graduation Year
2007 (19 years ago)
PAC ID
9234309915
Group Practice PAC ID
5890863492
Professional Enrollment ID
I20110907001383
Address ID
WA982722763MO14090SEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

393 DERMATOLOGY in WA

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Provider Addresses for DR. KATRINA BASSETT (M.D.)

  • 15906, Mill Creek Boulevard, Mill Creek, Snohomish County, Washington, 98012, United States

    STE 105

    MILL CREEK, WA 980121797

    Phone: (425) 385-2009

    Fax: (425) 939-0807

    Type: Mailing

  • 1793 13TH ST SE

    SALEM, OR 973022541

    Phone: (503) 362-8385

    Fax: (503) 362-8435

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $4,356.

Total Amount is formed as General ($4,356) + Research ($0) + Ownership ($0) = $4,356.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,000).

Total Amount

$4,356

General + Research + Ownership

Payments

160

Total payment records

General Amount

$4,356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-09-07

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
I20110907001383IDermatologyWATBD

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
17003Destruction of precancer skin growth, 2-14 growths578134$0
99214Established patient office or other outpatient visit, 30-39 minutes232169$0
17000Destruction of precancer skin growth, 1 growth229178$0
99213Established patient office or other outpatient visit, 20-29 minutes160144$0
11102Biopsy of related skin growth, first growth11286$0
View full utilization report →

Insurance plans in this area (ZIP 98012)

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Provider's Procedures

DR. KATRINA BASSETT (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYWA11101Biopsy of each additional growth of skin and/or tissue4334

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: 5890863492View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
D E R M A T O L O G YOR
D E R M A T O L O G YWA
Physician AssistantWA
D E R M A T O L O G YWA
Nurse PractitionerWA
D E R M A T O L O G YWA
-WA
Nurse PractitionerWA
-OR

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Frequently asked questions

What is the 10-digit NPI for DR. KATRINA BASSETT (M.D.)?
DR. KATRINA BASSETT (M.D.) — NPI 1700050317 — is the standard way to identify this listing.
Is DR. KATRINA BASSETT (M.D.) listed as active for patients and plans?
The listing shows DR. KATRINA BASSETT (M.D.) as active in the NPI system.
What taxonomy line describes DR. KATRINA BASSETT (M.D.)?
For research purposes, treat DR. KATRINA BASSETT (M.D.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KATRINA BASSETT (M.D.) serve?
DR. KATRINA BASSETT (M.D.)'s listing highlights Mill Creek, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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