Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Samuel Bass, NP-C

Individual provider Family Nurse Practitioner · NPI 1114440179

Keith Samuel Bass, NP-C is a Family Nurse Practitioner in Anna, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

513 N Main St
Anna, IL 62906-1668
Phone: (618) 833-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277002840 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209015848 (IL)

Record details

NPI number1114440179
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

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