Individual provider Active NPI

Krista Ann Mason, FNP

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1104277540
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008971 Issued in CA
Practice address
354 Santa Fe Dr
Encinitas, CA 92024
Phone
(760) 230-2251
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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 0024173674 VA
Family Nurse Practitioner 363LF0000X 95008971 CA Primary

Addresses

Primary practice location

354 Santa Fe Dr
Encinitas, CA 92024

Mailing address

PO Box 230760
Encinitas, CA 92023-0760

Other names 1

  • Krista Ann Liskevych Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180924001891 CA Practitioner - Nurse Practitioner 4486940541 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Encinitas Emergency Medicine IncGroup PAC ID 1951711357, 42 clinicians
Ohana Urgent Care Group IncGroup PAC ID 5799027397, 4 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362

6260 El Camino Real
Suite 101
Carlsbad, CA 92009-1609
Phone (760) 448-6650

Hospital & facility affiliations

  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Merit-based Incentive Payment System (MIPS)

Final score
85.7 of 100Reported as group
Quality
81.57
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95008971CAMDFamily Nurse Practitioner
0024173674VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Mar 11, 2022 Accepting new patients
Emergency Medicine Group of Encinitas, Inc CurrentSince Sep 1, 2018 Accepting new patients
Encinitas Emergency Medicine, Inc. CurrentSince Dec 15, 2020 Accepting new patients
United Medical Doctors CurrentSince Mar 11, 2022 Accepting new patients
Ohana Urgent Care Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Encinitas Palliative Care Associates, Inc. Past Accepting new patients
North County Inpatient Medical Alliance, a Medical Group, Inc Past Accepting new patients

Locations

6260 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 448-6650

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kmason80458@scrippshlth.medalliesdirect.net
  • Direct secure messaging: krista.mason.1@9170.direct.athenahealth.com

Organizations & group practices 8

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1104277540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230760",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920230760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-230-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "LISKEVYCH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.