MARIE SHYRELL BASA FNP - BC NPI 1356739767

NPI Information

  • NPI: 1356739767
  • Provider Name: MARIE SHYRELL BASA, FNP - BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15975 HARBOR BLVD
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 546-6575

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NPI Details

Marie Shyrell Basa, FNP - BC is a family nurse practitioner in Fountain Valley, CA with 11 years of experience. Marie Shyrell Basa, FNP - BC NPI is 1356739767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15975 HARBOR BLVD
FOUNTAIN VALLEY, CA
ZIP 92708-303
Phone: (714) 546-6575
Fax: (714) 551-9411

The NPI 1356739767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes (HCPCS:99423)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)

The enumeration date for this NPI number is 1/7/2015 and was last updated on 3/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily673060CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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