Chrisenie Brusha Bass, APRN
Individual provider Active NPI Family Nurse Practitioner · Chipley, FL
NPI 1114780004 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1114780004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11030993 (FL)
- Practice address
- 1360 Brickyard Rd
Chipley, FL 32428-6303 - Phone
- (850) 638-1610
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geneva County Healthcare Authority Inc
Northwest Florida Healthcare, Inc.
Southland Medical Solutions of Eufaula, PL
Practice addresses (Care Compare)
1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655
1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610
1410 Brickyard Rd
Chipley, FL 32428-5966
Phone (850) 638-3400
5429 College Dr
Graceville, FL 32440-1858
Phone (850) 263-0639
820 W Washington St
Eufaula, AL 36027-1822
Phone (344) 688-7000
925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 638-9399
Hospital & facility affiliations
- Wiregrass Medical Center
- Medical Center Barbour
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240412004074 | FL | Practitioner - Nurse Practitioner | 9234578097 | Reassigns benefits to 2 organizations |
| I20240815003382 | AL | Practitioner - Nurse Practitioner | 9234578097 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11030993 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority of the City of Eufaula | Current | Accepting new patients | |
| Southland Medical Solutions of Eufaula, PL | Current |
Accepting new patients | |
| The Health Care Authority of the City of Eufaula | Current |
Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Southland Medical Solutions of Ozark, PL | Current |
Accepting new patients | |
| The Health Care Authority of the City of Eufaula | Current |
Accepting new patients | |
| Calhoun-Liberty Hospital Association Inc | Current |
Accepting new patients | |
| Northwest Florida Healthcare, Inc | Current |
Accepting new patients | |
| Northwest Florida Healthcare, Inc | Current |
Accepting new patients |
Locations
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000
16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411
1376 Brickyard Rd
Ste 3
Chipley, FL 32428
Phone (850) 638-0552
1376 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-0552
1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300
5429 College Dr
Graceville, FL 32440
Phone (850) 263-0639
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
- chrisenie.bass.1@11619.direct.athenahealth.com
- chrisenie.bass.1@14612.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11030993 | FL | Yes |
Addresses
Primary practice location
1360 Brickyard Rd
Chipley, FL 32428-6303
Mailing address
218 Whisper LN
Midland City, AL 36350-7042
Phone (334) 695-0782
Other practice location 1
820 W Washington St
Eufaula, AL 36027-1899
Phone (334) 688-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380690 | Medicaid | AL |
Other providers in Chipley, FL
- Alli'S Health and Wellness LLC
- Alora Counseling LLC
- Anchor Psychiatry and Wellness PLLC
- Arc Washington Holmes
- Stacey Dioselina Bailey
- Eleanor Rosilee Batchelor
- Brianna Berry
- Gabriel Berry
- Rhonda Jean Best
- Rebecca Blatzheim
All providers in Chipley, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.