Individual provider Active NPI

Sharon A Mason, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1104098557
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9216522 Issued in FL
Practice address
346 Office Plaza Dr
Tallahassee, FL 32301-2730
Phone
(850) 727-4229
Fax
(850) 727-0541
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9216522 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9216522 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9216522 FL Primary

Addresses

Primary practice location

346 Office Plaza Dr
Tallahassee, FL 32301-2730

Mailing address

4435 W W Kelley Road
Tallahassee, FL 32311
Phone (215) 880-2778

Other practice location 1

1835 Buford CT
Tallahassee, FL 32308-4465
Phone (215) 880-2778

Other identifiers 1

IdentifierTypeStateIssuer
002037900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100617000221 FL Practitioner - Nurse Practitioner 3779613799 Reassigns benefits to 1 organization
Practice locations: Tallahassee, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1965 Capital Cir NE
102 Elite Dna Therapy Services
Tallahassee, FL 32308-8402
Phone (850) 671-4600

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9216522FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC CurrentSince Mar 9, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Mar 9, 2023 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

1965 Capital Cir NE
Ste 102
Tallahassee, FL 32308
Phone (850) 671-4600

Interoperability endpoints

  • Direct secure messaging: sharon.mason.1@13142.direct.athenahealth.com

Organizations & group practices 2

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1104098557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 W W KELLEY ROAD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32311",
            "telephone_number": "215-880-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 OFFICE PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012730",
            "telephone_number": "850-727-4229",
            "fax_number": "850-727-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 BUFORD CT",
            "address_purpose": "LOCATION",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084465",
            "country_code": "US",
            "telephone_number": "215-880-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9216522",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9216522",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9216522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002037900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.