MARIE SHYRELL BASA FNP - BC
NPI 1356739767
Nurse Practitioner - Family in Fountain Valley, CA

Active since January 07, 2015PECOS EnrolledAccepts Medicare Assignment
15975 HARBOR BLVD, FOUNTAIN VALLEY, CA 92708(714) 546-6575(714) 551-9411 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marie Shyrell Basa Fnp - Bc NPPES

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

MARIE SHYRELL BASA FNP - BC (NPI 1356739767) is an individual family provider in Fountain Valley, California, licensed in California (673060) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356739767
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE SHYRELL BASACredential: FNP - BC
Location Address15975 HARBOR BLVDFountain Valley, CA 92708-1303
Mailing Address10710 Ashworth CirCerritos, CA 90703-2648 · (562) 712-6354
Fax(714) 551-9411
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 7, 2015
Last NPPES UpdateMarch 9, 2015
NPI 1356739767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 673060
15975 HARBOR BLVD, Fountain Valley, CA 92708

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marie Shyrell Basa Fnp - Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375864572
PECOS Enrollment IDI20150529002336
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services61 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
111 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
37 services35 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician 93040
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.
37 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 14

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

Nurse Practitioner
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Pediatrics
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Dentist
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Obstetrics & Gynecology)
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Clinic/Center (Health Service)
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Family Medicine
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Dentist (General Practice)
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708
Family Medicine
15975 HARBOR BLVD
FOUNTAIN VALLEY, CA 92708

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 Marie Basa's NPI number?

The NPI number for Marie Basa is 1356739767. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Marie Basa located?

Marie Basa practices at 15975 Harbor Blvd, Fountain Valley, CA 92708. The listed phone number is (714) 546-6575.

What is Marie Basa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marie Basa enrolled in Medicare?

Yes. Marie Basa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marie Basa was last updated on March 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.