Individual provider Active NPI

Angela Renee Mason, NP-C

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1093262461
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132056 Issued in TX
Practice address
1005 W Ralph Hall Pkwy Ste 101
Rockwall, TX 75032-6663
Phone
(972) 771-8686
NPI assigned
Sep 2, 2016
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 AP132056 TX Primary

Addresses

Primary practice location

1005 W Ralph Hall Pkwy Ste 101
Rockwall, TX 75032-6663

Mailing address

1005 W Ralph Hall Pkwy Ste 101
Rockwall, TX 75032-6663
Phone (972) 771-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161019000849 TX Practitioner - Nurse Practitioner 6305134628 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132056TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2016 Accepting new patients
Community Wellness Medical Associates a PC CurrentSince Oct 5, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2016 Accepting new patients
S. Y. Liu, MD., PA PastSince Oct 5, 2024 Accepting new patients

Locations

1999 S Bascom Ave
Ste 1020
Campbell, CA 95008
Phone (650) 722-2611

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

318 N Alleghaney Ave
Ste 301
Odessa, TX 79761
Phone (432) 333-2878

1005 W Ralph Hall Pkwy
Ste 101
Rockwall, TX 75032
Phone (972) 771-8686

5501 Gordon Smith Dr
Ste 500
Rowlett, TX 75089
Phone (214) 703-8100

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: amason1305105@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1093262461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326663",
            "telephone_number": "972-771-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326663",
            "telephone_number": "972-771-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.