Individual provider Active NPI

Nylah R Bass, AGNP-C

  • Gerontology Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1316633357
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0998508-NP Issued in CO
Practice address
3885 Upham St Ste 100
Wheat Ridge, CO 80033-4800
Phone
(303) 742-0086
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0998508-NP CO Primary

Addresses

Primary practice location

3885 Upham St Ste 100
Wheat Ridge, CO 80033-4800

Mailing address

323 Toledo St
Aurora, CO 80011-8507
Phone (720) 427-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230501000373 CO Practitioner - Nurse Practitioner 4880059658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gfma Acq LLCGroup PAC ID 5294115523, 7 clinicians

Practice addresses (Care Compare)

6850 W 52ND Ave
Suite 100
Arvada, CO 80002-3955
Phone (303) 742-0086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0998508-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gfma Acq, LLC CurrentSince Jul 1, 2023 Accepting new patients
Gfma Acq, LLC PastSince Jul 1, 2023 Accepting new patients

Locations

6850 W 52nd Ave
Ste 100
Arvada, CO 80002
Phone (720) 399-0025

3885 Upham St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 742-0086

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1316633357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 TOLEDO ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118507",
            "telephone_number": "720-427-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334800",
            "telephone_number": "303-742-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "NYLAH",
        "middle_name": "R",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0998508-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.