CLARIPATH PSYCHIATRY PLLC – Psychiatric/Mental Health Nurse Practitioner, NPI 1265317523

CLARIPATH PSYCHIATRY PLLC is a healthcare provider. based in Springfield, Illinois. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for CLARIPATH PSYCHIATRY PLLC is 1265317523

Main info

Organization
Name
CLARIPATH PSYCHIATRY PLLC
NPI
1265317523
Phone
(618) 270-7879
Address
2501 CHATHAM RD # 4358
Authorized Official
MR. KEITH SAMUEL BASS OWNER/PROVIDER PMHNP-BC
Enumeration Date
7 August 2025
Last Update Date
7 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for CLARIPATH PSYCHIATRY PLLC

  • 2501 CHATHAM RD # 4358

    SPRINGFIELD, IL 627044188

    Phone: (618) 270-7879

    Fax: (949) 864-3553

    Type: Mailing

  • 330 S MAIN ST

    ANNA, IL 629061242

    Phone: (618) 270-7879

    Fax: (949) 864-3553

    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: 2025-11-26

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
O20251126000229OClinic/Group PracticeILTBD

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 62704)

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Reviews

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Frequently asked questions

How is CLARIPATH PSYCHIATRY PLLC identified in CMS data?
CMS-hosted NPPES data lists CLARIPATH PSYCHIATRY PLLC with NPI 1265317523.
Is CLARIPATH PSYCHIATRY PLLC listed as active for patients and plans?
The listing shows CLARIPATH PSYCHIATRY PLLC as active in the NPI system.
What taxonomy line describes CLARIPATH PSYCHIATRY PLLC?
For research purposes, treat CLARIPATH PSYCHIATRY PLLC as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CLARIPATH PSYCHIATRY PLLC?
CLARIPATH PSYCHIATRY PLLC's geographic hint is Springfield, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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