Mrs. Kathy Denese Bass

Individual provider Acute Care Nurse Practitioner · NPI 1609435239

Mrs. Kathy Denese Bass is a Nurse Practitioner in Interlachen, Florida. Qualified in 2017, 9 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying: 9
Licensed in: FL
In the registry since: 2019
Specialties on file: 2

Claim this listing Report a problem Suggest an edit

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 170
Interlachen, FL 32148-0170
Phone: (386) 684-0195

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

340 Nw Commerce Dr, Lake City, FL 32055-4709 — (800) 507-8874
340 Nw Commerce Dr, Lake City, FL 32055-4709 — (800) 507-8874

Specialties & licences

Acute Care Nurse Practitioner (primary)	Taxonomy 363LA2100X · Licence NP-APRN11000137 (FL)
Gerontology Nurse Practitioner	Taxonomy 363LG0600X · Licence NP-APRN11000137 (FL)

Record details

NPI number	1609435239
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	June 7, 2019
Last updated in NPPES	December 23, 2024
Certification date	December 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2017 (9 years in practice)
Group practice	Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount