Michael Bass, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA203663 Issued in OR

Practice address

114 SE Church St
Sublimity, OR 97385-9424

Phone

(503) 769-2259

Fax

(503) 769-8049

NPI assigned

Jan 14, 2021

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Physician Assistant

Education

Ohio State University College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14369/brand/7/csg/1/fhir/r4
• Direct secure messaging: michael.bass.1@14369.direct.athenahealth.com
• Direct secure messaging: michael.bass.1@17725.direct.athenahealth.com

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.

• Santiam Memorial Hospital

  • General Acute Care Hospital
  • Stayton, OR
  • NPI 1154302214
  Medicare reassignment Care Compare group NPD (past)
• Icco, LLC

  dba BestMed

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757
  Medicare reassignment NPD
• Icco LLC

  dba BestMed

  • Rural Health Clinic/Center
  • Florence, OR
  • NPI 1740896547
  NPD
• Icco, LLC

  dba BestMed

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1992861611
  NPD
• Santiam Memorial Hospital

  dba Sublimity Medical Clinic

  • Primary Care Clinic/Center
  • Sublimity, OR
  • NPI 1225225709
  NPD
• Santiam Memorial Hospital

  dba Santiam Health & Wellness Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stayton, OR
  • NPI 1801787171
  NPD
• Santiam Memorial Hospital

  dba Aumsville Medical Clinic

  • Rural Health Clinic/Center
  • Aumsville, OR
  • NPI 1013302017
  NPD (past)
• Santiam Memorial Hospital

  dba Santiam Medical Clinic

  • Rural Health Clinic/Center
  • Mill City, OR
  • NPI 1396131389
  NPD (past)
• Santiam Memorial Hospital

  dba Santiam Medical Associates

  • Rural Health Clinic/Center
  • Stayton, OR
  • NPI 1477909570
  NPD (past)
• Santiam Memorial Hospital

  dba Sublimity Medical Clinic

  • Rural Health Clinic/Center
  • Sublimity, OR
  • NPI 1518354547
  NPD (past)

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

• Santiam Memorial Hospital

  • General Acute Care Hospital
  • Stayton, OR
  • NPI 1154302214
  Care Compare affiliation
• Santiam Memorial Hospital

  • Ambulance
  • Stayton, OR
  • NPI 1962566752

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1447849419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973850886",
            "telephone_number": "503-769-2259",
            "fax_number": "503-769-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SE CHURCH ST",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859424",
            "telephone_number": "503-769-2259",
            "fax_number": "503-769-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7402 W Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436153017",
            "country_code": "US",
            "telephone_number": "419-944-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Fairview St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811917",
            "country_code": "US",
            "telephone_number": "503-873-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006828",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA203663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL BOARD",
            "identifier": "50.006828",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.bass.1@14369.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "114 SE Church St",
            "city": "Sublimity",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973859424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Abblitt, COTA/L
• Kevin Blaine Bingham, PTA
• Hannah Joy Bollman, OTA
• Julie Camille Carpenter, FNP
• Cascadia Behavioral Healthcare Inc
• Olivia Colangelo, LMT

• Physician Assistant in Sublimity, OR
• Providers in Sublimity, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.

Verify at the official NPI Registry.