Individual provider Active NPI

Stephanie Ann Mason, FNP-C

  • Family Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1013495837
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008470A Issued in IN
Practice address
1600 23Rd St
Bedford, IN 47421-4704
Phone
(812) 275-3331
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008470A IN Primary

Addresses

Primary practice location

1600 23Rd St
Bedford, IN 47421-4704

Mailing address

1600 23Rd St
Bedford, IN 47421-4704

Other practice location 1

2415 Mitchell Rd Ste C
Bedford, IN 47421-4731
Phone (812) 277-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.mason.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107003526 IN Practitioner - Nurse Practitioner 5294089389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

225 S Pine St
Suite 310
Seymour, IN 47274-2367
Phone (812) 524-3330

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4427

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Oct 12, 2018 Accepting new patients
St. Vincent Medical Group, Inc. Family CurrentSince Oct 12, 2018 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

2415 Mitchell Rd
Ste C
Bedford, IN 47421
Phone (812) 275-2660

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

225 S Pine St
Ste 310
Seymour, IN 47274
Phone (812) 522-2177

225 S Pine St
Ste 200
Seymour, IN 47274
Phone (812) 524-3333

Interoperability endpoints

  • Direct secure messaging: stephanie.mason.1@7598.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013495837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-275-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 Mitchell Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474214731",
            "country_code": "US",
            "telephone_number": "812-277-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008470A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.mason.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "1600 23rd St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474214704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.