MARIE SHYRELL BASA FNP - BC
NPI 1356739767
Nurse Practitioner - Family in Fountain Valley, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Marie Basa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carson, CA 90745
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
FOUNTAIN VALLEY, CA 92708
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.
Which organization bills Medicare for Marie Basa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Basa reassigns Medicare benefits to Family Practice Associates Of Carson Medical Group Inc (Carson, CA). The 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 Marie Basa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marie Basa was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Marie Shyrell Basa, FNP - BC · NPI 1356739767
Family physician in Fountain Valley, California. Individual provider, active in the CMS NPPES registry since January 7, 2015.
## Identity
- **NPI:** 1356739767 (Entity type: Individual)
- **Enumerated:** January 7, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 673060 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15975 HARBOR BLVD, Fountain Valley, CA 92708-1303
- **Phone:** (714) 546-6575 · **Fax:** (714) 551-9411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Practice Associates Of Carson Medical Group Inc (NPI 1316996903, Carson, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1356739767) · Data from the CMS NPPES public registry.