Ednora Bradley Mason, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024194101 Issued in VA

Practice address

6147 Jefferson Ave
Newport News, VA 23605-1511

Phone

(757) 826-1300

Fax

(804) 482-3761

NPI assigned

Feb 28, 2025

Last updated

Nov 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Four Crowne Legacy LLC

  dba Crowne Initiative Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
  • NPI 1033092903
  Medicare reassignment NPD Authorized official
• Heart & Soul LLC

  dba Community Excursions Psychosocial Rehabilitation

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Newport News, VA
  • NPI 1881936748
  Medicare reassignment NPD Authorized official
• Elevated Minds Counseling LLC

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1770431314
  NPD (past)

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1083411722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 PEACH TREE CRES",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027494",
            "telephone_number": "757-342-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051511",
            "telephone_number": "757-826-1300",
            "fax_number": "804-482-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "EDNORA",
        "middle_name": "BRADLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024194101",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryview Hospital LLC (Bon Secours Liver Institute of Hampton Roads)
• Maryview Hospital LLC (Bon Secours Medical Oncology)
• Maryview Hospital LLC (Bon Secours Gynecologic Oncology Specialists)
• Alison Mascalo, PH.D.
• Michael Andrew Mashburn
• Jennifer Mason
• Lasandra Maria Mason, CERTIFIED NURSING AS
• Shaun Essie Mason, B.S , M.ED, LPC
• Taylor Faith Mason
• Jason Anthony Massignan, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Newport News, VA
• Providers in Newport News, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.