Nicholas Bass, AGPCNP-BC
Individual provider Active NPI Primary Care Nurse Practitioner · Opp, AL
NPI 1982117412 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1982117412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 1-144846 (AL)
- Practice address
- 702 N Main St
Opp, AL 36467-1626 - Phone
- (334) 493-3541
- NPI assigned
- Nov 7, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
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
- Geneva County Healthcare Authority Inc
Northwest Florida Healthcare, Inc.
Southland Hospitlalist at Chipley PL
Calhoun-Liberty Hospital Association Inc
Southland Medical Solutions of Eufaula, PL
Practice addresses (Care Compare)
1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655
1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610
16257 State Rd 71
Blountstown, FL 32424-2808
Phone (850) 674-5411
20370 NE Burns Ave
Blountstown, FL 32424-1045
820 W Washington St
Eufaula, AL 36027-1822
Phone (344) 688-7000
Hospital & facility affiliations
- Northwest Florida Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, FL
- 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 |
|---|---|---|---|---|
| I20180607002661 | AL | Practitioner - Nurse Practitioner | 8628333994 | Reassigns benefits to 9 organizations |
| I20181211000468 | FL | Practitioner - Nurse Practitioner | 8628333994 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-144846 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000
16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411
1360 Brickyard Rd
Fl Co
Chipley, FL 32428
Phone (850) 638-1610
1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e
- nicholas.bass.1@11619.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1-144846 | AL | Yes |
Addresses
Primary practice location
702 N Main St
Opp, AL 36467-1626
Mailing address
267 Ridge Dr
Headland, AL 36345-7405
Phone (334) 796-7670
Other practice location 1
1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610
Other practice location 2
820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 688-7000
Other practice location 3
126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 744-2601
Other providers in Opp, AL
- Amanda Wells Lanier, D.M.D., P.C.
- Andalusia Medical Center, LLC
- James Devane Anderson
- George Lawrence Arnett
- Bhagwan D Bang
- Ashley Jean Basso
- Kenny Ray Blackston
- Blissful Healthcare LLC
- Selena Bluck
- Katie Spurlin Bowers
All providers in Opp, AL · Primary Care Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. 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.