Katie Mechele Bass, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP836130 Issued in NV

Practice address

6301 Mountain Vista St Ste 209
Henderson, NV 89014-2364

Phone

(702) 703-1202

NPI assigned

Sep 9, 2020

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revolution Health LLCGroup PAC ID 7517350556, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Revolution Health LLC

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1356015218
  Medicare reassignment Care Compare group NPD Authorized official
• Kristina Shurtleff MD PC

  dba Shurtleff Family Practice

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1518262989
  Medicare reassignment NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1619582459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST STE 209",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142364",
            "telephone_number": "702-703-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST STE 209",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142364",
            "telephone_number": "702-703-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "KATIE",
        "middle_name": "MECHELE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "CNP836130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basic Healing LLC (Basic Healing Physical Therapy)
• Basic Healing LLC
• Chad Basinger, DC
• Paula Jane Baskette, LCSW
• Amy Lee Bass, APRN, NP-C
• Ronald Bass
• Special Bass
• Bassam Al Owir MD PC
• Hanna Basso
• Jennilyn Batara, PT, DPT

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.