Individual provider Active NPI

Michelle Bassett, FNP-C

  • Nurse Practitioner
  • Washington, MO
National Provider Identifier
1124688858
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019024652 Issued in MO
Practice address
555 Washington Square Shopping Ctr
Washington, MO 63090-5343
Phone
(636) 390-1777
Fax
(363) 390-1778
NPI assigned
Jun 14, 2019
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019024652 MO Primary
Registered Nurse 163W00000X 2012003128 MO

Addresses

Primary practice location

555 Washington Square Shopping Ctr
Washington, MO 63090-5343

Mailing address

555 Washington Square Shopping Ctr
Washington, MO 63090-5343
Phone (636) 390-1777

Other practice location 1

11520 St. Charles Rock Rd.
Suite 106
Bridgeton, MO 63044
Phone (314) 291-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190813001576 MO Practitioner - Nurse Practitioner 5890022909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012003128MOMDRegistered Nurse
2019024652MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Jul 11, 2022 Accepting new patients
Total Access Urgent Care, PC CurrentSince Sep 9, 2024 Accepting new patients
Total Access Urgent Care, PC CurrentSince Sep 9, 2024 Accepting new patients

Locations

3433 N Highway 67
Florissant, MO 63033
Phone (314) 690-5078

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

555 Washington Sq
Washington, MO 63090
Phone (636) 390-1777

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1124688858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON SQUARE SHOPPING CTR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905343",
            "telephone_number": "636-390-1777",
            "fax_number": "363-390-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON SQUARE SHOPPING CTR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905343",
            "telephone_number": "636-390-1777",
            "fax_number": "363-390-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11520 St. Charles Rock Rd.",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "63044",
            "country_code": "US",
            "telephone_number": "314-291-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019024652",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012003128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.