Individual provider Active NPI

Stephanie Lynn Bass, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1699384560
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-182404 Issued in AL
Practice address
4164 Halls Mill Rd
Mobile, AL 36693-5614
Phone
(251) 661-5404
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022053 PA
Family Nurse Practitioner 363LF0000X 1-182404 AL Primary

Addresses

Primary practice location

4164 Halls Mill Rd
Mobile, AL 36693-5614

Mailing address

751 Eliza Jordan Rd N
Mobile, AL 36608-9047
Phone (630) 432-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201005000404 PA Practitioner - Nurse Practitioner 3779902135 Reassigns benefits to 1 organization
I20210712001503 AL Practitioner - Nurse Practitioner 3779902135 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Medical of Alabama IncGroup PAC ID 0446759559, 2 clinicians

Practice addresses (Care Compare)

4400 Rangeline Rd
Suite B
Mobile, AL 36619-9534
Phone (251) 241-0905

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince May 20, 2024 Accepting new patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Jul 19, 2021 Accepting new patients
David a Thomas, LTD CurrentSince Aug 3, 2020 Accepting new patients
NM Pacs 2 LLC CurrentSince Jul 19, 2021 Accepting new patients
Vista Medical of Alabama, Inc CurrentSince Jun 15, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
David a Thomas, LTD CurrentSince Aug 3, 2020 Accepting new patients
Azalea City Medical Services, Inc. PastSince Jun 15, 2025 Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

4164 Halls Mill Rd
Mobile, AL 36693
Phone (251) 408-7778

1359 Spring Hill Ave
Mobile, AL 36604
Phone (251) 241-0905

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

1088 W Baltimore Pike
Ste 2205
Rose Valley, PA 19063
Phone (610) 565-7010

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1699384560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ELIZA JORDAN RD N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089047",
            "telephone_number": "630-432-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 HALLS MILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366935614",
            "telephone_number": "251-661-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-182404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.