Active NPI
Shelby Bass, PA-C
- Physician Assistant
- Knoxville, TN
National Provider Identifier
1134926140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1229585
- Practice address
- 1311 Dowell Springs Blvd
Knoxville, TN 37909-2454 - Phone
- (865) 588-5121
- NPI assigned
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1229585 | TN | Primary |
Addresses
Primary practice location
1311 Dowell Springs Blvd
Knoxville, TN 37909-2454
Mailing address
431 Oliver Dr
Oliver Springs, TN 37840-1932
Phone (865) 804-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 Dowell Springs Blvd
Knoxville, TN 37909-2454
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1229585 | TN | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1780695999
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1134926140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 OLIVER DR",
"city": "OLIVER SPRINGS",
"state": "TN",
"postal_code": "378401932",
"telephone_number": "865-804-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092454",
"telephone_number": "865-588-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "SHELBY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1229585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.