Individual provider Active NPI

Brenda Mastin, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1053742783
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0106920-C-NP Issued in CO
Practice address
410 Gold Pass HTS
Colorado Springs, CO 80906-3882
Phone
(719) 632-5700
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008379 KY
Family Nurse Practitioner 363LF0000X C-APN.0106920-C-NP CO Primary

Addresses

Primary practice location

410 Gold Pass HTS
Colorado Springs, CO 80906-3882

Mailing address

3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700

Other practice location 1

9188 Pampas Ct
Covington, KY 41015-4213
Phone (859) 415-3099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20220303002263 KY Practitioner - Nurse Practitioner 9436382066 Reassigns benefits to 3 organizations
I20220304001389 OH Practitioner - Nurse Practitioner 9436382066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

3457 Valleyplaza Pkwy
Ft Wright, KY 41017-8176
Phone (513) 846-6778

4530 Eastgate Blvd
B 616
Cincinnati, OH 45245-1266
Phone (513) 752-1999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008379KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Nov 24, 2021 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince May 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince May 1, 2024 Accepting new patients
Brock Medical, LLC CurrentSince May 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince May 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450

650 Sprucewood Ln
Erlanger, KY 41018
Phone (859) 282-6600

7683 Mall Rd
Unit B
Florence, KY 41042
Phone (859) 817-1320

7683 Mall Rd
Florence, KY 41042
Phone (859) 817-1320

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

3457 Valleyplaza Pkwy
Ft Wright, KY 41017
Phone (513) 846-6778

757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

895 N Main St
Monticello, KY 42633
Phone (606) 396-3006

85 Carothers Rd
Newport, KY 41071
Phone (859) 261-0506

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

480 Bullion Blvd
#B
Winchester, KY 40391
Phone (859) 385-4222

4530 Eastgate Blvd
#B616
Cincinnati, OH 45245
Phone (513) 752-1999

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1053742783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GOLD PASS HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063882",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9188 Pampas Ct",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410154213",
            "country_code": "US",
            "telephone_number": "859-415-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTIN",
        "first_name": "BRENDA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008379",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0106920-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.