Individual provider Active NPI

Aubrey Marie Massaro, PA

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1053086611
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15425 Issued in NC
Practice address
1000 Brabham Ave
Jacksonville, NC 28546-5003
Phone
(910) 341-3498
Fax
(910) 762-1698
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 0010-15425 NC Primary

Addresses

Primary practice location

1000 Brabham Ave
Jacksonville, NC 28546-5003

Mailing address

1202 Medical Center Dr
Wilmington, NC 28401-7307

Other practice location 1

4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 660-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240502002020 OK Practitioner - Physician Assistant 1355781766 Reassigns benefits to 1 organization
I20250926001752 NC Practitioner - Physician Assistant 1355781766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

1000 Brabham LN
Jacksonville, NC 28546-5003
Phone (910) 341-1540

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

8064 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540

8068 Market St
Wilmington, NC 28411-9384
Phone (910) 796-7767

8090 Market St
Wilmington, NC 28411-9384
Phone (910) 341-1540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-15425NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington ASC LLC CurrentSince Sep 2, 2025 Accepting new patients
Prophylaxis Healthcare LLC CurrentSince Mar 26, 2024 Accepting new patients
Wilmington Health PLLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

1000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 347-1515

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

1407 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 335-2273

11911 S Memorial Dr
Bixby, OK 74008
Phone (918) 497-3700

211 S Mill St
Pryor, OK 74361
Phone (918) 825-3777

303 E Taft Ave
Ste 3
Sapulpa, OK 74066
Phone (918) 224-2222

Interoperability endpoints

  • Direct secure messaging: aubrey.massaro.p1@direct.wilmingtonhealth.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1053086611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRABHAM AVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465003",
            "telephone_number": "910-341-3498",
            "fax_number": "910-762-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352536",
            "country_code": "US",
            "telephone_number": "918-660-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "AUBREY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.