JESSICA BASS
NPI 1558080739
Nurse Practitioner - Psychiatric/Mental Health in Hattiesburg, MS

Q: What is Jessica Bass's NPI number?

The NPI number for Jessica Bass is 1558080739. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Q: What is Jessica Bass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Bass was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 23, 2022PECOS EnrolledAccepts Medicare Assignment

2117 BROADWAY DRIVE, HATTIESBURG, MS 39402(601) 288-8050(601) 288-8058 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Oct 18, 2023, Aug 23, 2022 (3 updates tracked since 2022).

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About Jessica Bass NPPES

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

JESSICA BASS (NPI 1558080739) is an individual psychiatric/mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (887149) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1558080739

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA BASS

Location Address2117 BROADWAY DRIVEHattiesburg, MS 39402-3210

Mailing Address2117 Broadway DriveHattiesburg, MS 39402-3210 · (601) 288-8050 · Fax (601) 288-8058

Phone(601) 288-8050

Fax(601) 288-8058

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 23, 2022

Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1558080739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 887149

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 821402 (MS)

2117 BROADWAY DRIVE, Hattiesburg, MS 39402

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Secondary Practice Location 1

Location 11 Lincoln PkwyHattiesburg, MS 39402-3262 · Phone (601) 288-8050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Jessica Bass 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 ID2769926229

PECOS Enrollment IDI20240626001195

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

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250078

Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 12

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

MS. ASHLEY HAYNES HOLFORD LCSW

Social Worker (Clinical)