Active NPI
Bryce Bass, PA
- Physician Assistant
- Fort Smith, AR
National Provider Identifier
1497307664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA854
- Practice address
- 7900 Dallas Street
Fort Smith, AR 72903-5690 - Phone
- (479) 242-6647
- Fax
- (479) 250-0505
- NPI assigned
- Jul 9, 2019
- Last updated
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PA854 | AR | Primary |
Addresses
Primary practice location
7900 Dallas Street
Fort Smith, AR 72903-5690
Mailing address
7900 Dallas Street
Fort Smith, AR 72903-5690
Phone (479) 242-6647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 Dallas St
Fort Smith, AR 72903-5690
Phone (479) 242-6647
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 74.86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA854 | AR | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Fort Smith, AR
- NPI 1376780098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1497307664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 DALLAS STREET",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035690",
"telephone_number": "479-242-6647",
"fax_number": "479-250-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 DALLAS STREET",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035690",
"telephone_number": "479-242-6647",
"fax_number": "479-250-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "BRYCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.