KOURTNEY BASS
NPI 1053936948
Nurse Practitioner in Las Vegas, NV

Q: What is Kourtney Bass's NPI number?

The NPI number for Kourtney Bass is 1053936948. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Q: What is Kourtney Bass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kourtney Bass was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2020PECOS Enrolled

5300 SPRING MOUNTAIN RD STE 112, LAS VEGAS, NV 89146(702) 362-6373 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2020, Jun 16, 2020 (2 updates tracked since 2020).

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About Kourtney Bass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOURTNEY BASS (NPI 1053936948) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (822111) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053936948

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKOURTNEY BASS

Location Address5300 SPRING MOUNTAIN RD STE 112Las Vegas, NV 89146-8724

Mailing Address29485 Stellamar DrSouthfield, MI 48076-5270

Phone(702) 362-6373

Sole ProprietorNo

Enumeration DateJune 16, 2020

Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration

NPPES CertifiedJuly 13, 2020

✔ NPI 1053936948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 822111

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5300 SPRING MOUNTAIN RD STE 112, Las Vegas, NV 89146

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kourtney Bass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kourtney Bass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center

290 mi

Federally Qualified Health Center (FQHC)

13161 JEFFERSON ST
Le Grand, CA 95333

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Golden Valley Health Centers
440 clinicians in this Medicare group

NPI 1356325310 (209) 389-1900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VEGAS MD

Clinic/Center (Urgent Care)