SHELLY CORINNE BASS FNP
NPI 1407611858
Nurse Practitioner - Family in Elizabeth City, NC

Q: What is Shelly Bass's NPI number?

The NPI number for Shelly Bass is 1407611858. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Q: What is Shelly Bass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelly Bass was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 February 15, 2024PECOS Enrolled

901 HALSTEAD BLVD, ELIZABETH CITY, NC 27909(252) 338-0137(252) 338-3459 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Shelly Corinne Bass Fnp NPPES

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

SHELLY CORINNE BASS FNP (NPI 1407611858) is an individual family provider in Elizabeth City, North Carolina, licensed in North Carolina (2023169071) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407611858

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHELLY CORINNE BASSCredential: FNP

Location Address901 HALSTEAD BLVDElizabeth City, NC 27909-6920

Mailing Address901 Halstead BlvdElizabeth City, NC 27909-6920 · (252) 338-0137 · Fax (252) 338-3459

Phone(252) 338-0137

Fax(252) 338-3459

Sole ProprietorYes

Enumeration DateFebruary 15, 2024

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1407611858 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 NC · 2023169071

901 HALSTEAD BLVD, Elizabeth City, NC 27909

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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)

Shelly Corinne Bass Fnp 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 Shelly Bass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Universal Health Corporation

216 mi

Internal Medicine

130 CHURCH AVE SW
Roanoke, VA 24011

Reassigned Medicare billing, North Carolina enrollment
80 clinicians in this Medicare group

NPI 1407117625 (540) 769-3964

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

725 services100 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.

396 services90 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

82 services57 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 10

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

MRS. SHANNON NICOLE DART FNP-BC

Nurse Practitioner (Family)