KEITH SAMUEL BASS NP-C
NPI 1114440179
Nurse Practitioner - Family in Anna, IL
About Keith Samuel Bass Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH SAMUEL BASS NP-C (NPI 1114440179) is an individual family provider in Anna, Illinois, licensed in Illinois (277002840) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keith Samuel Bass Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Keith Bass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anna, IL 62906
- Reassigned Medicare billing, Illinois enrollment
- 28 clinicians in this Medicare group
Anna, IL 62906
- Reassigned Medicare billing, Illinois enrollment
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 62906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Bass's NPI number?
The NPI number for Keith Bass is 1114440179. It was assigned to this individual provider in the NPPES registry on July 21, 2017.
Where is Keith Bass located?
Keith Bass practices at 513 N Main St, Anna, IL 62906. The listed phone number is (618) 833-4471.
What is Keith Bass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keith Bass enrolled in Medicare?
Yes. Keith Bass is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Keith Bass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Bass reassigns Medicare benefits to 2 organizations: Rural Health, Inc. (Anna, IL) and Claripath Psychiatry PLLC (Anna, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Bass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Bass accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Keith Bass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keith Bass was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Keith Samuel Bass, NP-C · NPI 1114440179
Family physician in Anna, Illinois. Individual provider, active in the CMS NPPES registry since July 21, 2017.
## Identity
- **NPI:** 1114440179 (Entity type: Individual)
- **Enumerated:** July 21, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 277002840 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 513 N MAIN ST, Anna, IL 62906-1668
- **Phone:** (618) 833-4471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rural Health, Inc. (NPI 1982666384, Anna, IL); Claripath Psychiatry PLLC (NPI 1265317523, Anna, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114440179) · Data from the CMS NPPES public registry.