Individual provider Active NPI

Chrisenie Brusha Bass, APRN

  • Family Nurse Practitioner
  • Chipley, FL
National Provider Identifier
1114780004
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030993 Issued in FL
Practice address
1360 Brickyard Rd
Chipley, FL 32428-6303
Phone
(850) 638-1610
NPI assigned
Feb 2, 2024
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030993 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240412004074 FL Practitioner - Nurse Practitioner 9234578097 Reassigns benefits to 2 organizations
I20240815003382 AL Practitioner - Nurse Practitioner 9234578097 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Medical Solutions of Eufaula, PLGroup PAC ID 1951469410, 8 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11030993FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun-Liberty Hospital Association Inc CurrentSince Oct 19, 2025 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients
Southland Medical Solutions of Ozark, PL CurrentSince Jul 1, 2024 Accepting new patients
Southland Medical Solutions of Eufaula, PL CurrentSince Sep 1, 2024 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Mar 5, 2024 Accepting new patients
Calhoun-Liberty Hospital Association Inc CurrentSince Oct 19, 2025 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Mar 5, 2024 Accepting new patients
The Health Care Authority of the City of Eufaula Current Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 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

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1376 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-0552

1376 Brickyard Rd
Ste 3
Chipley, FL 32428
Phone (850) 638-0552

5429 College Dr
Graceville, FL 32440
Phone (850) 263-0639

Interoperability endpoints

  • Direct secure messaging: chrisenie.bass.1@11619.direct.athenahealth.com
  • Direct secure messaging: chrisenie.bass.1@14612.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1114780004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 WHISPER LN",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363507042",
            "telephone_number": "334-695-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BRICKYARD RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286303",
            "telephone_number": "850-638-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271899",
            "country_code": "US",
            "telephone_number": "334-688-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "CHRISENIE",
        "middle_name": "BRUSHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

Verify at the official NPI Registry.