NPIMap

Individual provider Active NPI

Caitlin Lizbeth Bass, M.D.

  • Internal Medicine Physician
  • Saint Augustine, FL
National Provider Identifier
1841723780
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME144392 Issued in FL
Practice address
201 Health Park Blvd Ste 215
Saint Augustine, FL 32086-5797
Phone
(904) 824-3777
Fax
(904) 824-6050
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME144392 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

201 Health Park Blvd Ste 215
Saint Augustine, FL 32086-5797

Mailing address

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7799

Other practice location 1

1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-7799

Other practice location 2

100 Whetstone Pl Ste 105
St Augustine, FL 32086-5775
Phone (904) 824-3777

Other identifiers 1

IdentifierTypeStateIssuer
126489000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914002151 FL Practitioner - Internal Medicine 1254769680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

100 Whetstone PL
Suite 105
Saint Augustine, FL 32086-5775
Phone (904) 824-3777

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME144392FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Professional Health Care Services, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Flagler Professional Health Care Services, Inc. Internal Medicine CurrentSince Oct 18, 2021 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince May 9, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. Internal Medicine Past Accepting new patients

Locations

120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200

120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200

100 Whetstone Pl
Ste 105
St Augustine, FL 32086
Phone (904) 824-3777

201 Health Park Blvd
Ste 215
St Augustine, FL 32086
Phone (904) 373-1177

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Interoperability endpoints

  • Direct secure messaging: cbass743057@direct.shands.ufl.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1841723780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD STE 215",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865797",
            "telephone_number": "904-824-3777",
            "fax_number": "904-824-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393509",
            "country_code": "US",
            "telephone_number": "941-917-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Whetstone Pl Ste 105",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865775",
            "country_code": "US",
            "telephone_number": "904-824-3777",
            "fax_number": "904-824-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "CAITLIN",
        "middle_name": "LIZBETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME144392",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.