Sarah Elizabeth Bass, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Ketchikan, AK
NPI 1831697754 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1831697754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 129580 (AK)
- Practice address
- 3524 Tongass Ave
Ketchikan, AK 99901-5635 - Phone
- (907) 225-6355
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Health Clinic LLC
Practice addresses (Care Compare)
3524 Tongass Ave
Ketchikan, AK 99901-5635
Phone (907) 225-6355
Hospital & facility affiliations
- Peacehealth Ketchikan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180319002761 | AK | Practitioner - Nurse Practitioner | 1759643356 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Health Clinic, LLC | Family | Current |
Accepting new patients |
Locations
3524 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-6355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 129580 | AK | Yes |
Addresses
Primary practice location
3524 Tongass Ave
Ketchikan, AK 99901-5635
Mailing address
3924 Big Rock Rd
Ketchikan, AK 99901-9639
Phone (907) 617-3816
Other providers in Ketchikan, AK
- Blake Bachant
- Balance and Nourish, LLC
- Christina Baldwin
- Gerry Balluta
- Danica Natasha Barron-Dhillon
- Frank Joseph Bayles
- Be Well Counseling LLC
- Kristine Beard
- Megan Beardsley
- Erin Beasley
All providers in Ketchikan, AK · Family Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.