Individual provider Active NPI

Amanda Nicole Mason, FNP

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1104365964
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22254 Issued in TN
Practice address
353 New Shackle Island Rd Ste 201a
Hendersonville, TN 37075-2382
Phone
(615) 826-1716
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 22254 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 201a
Hendersonville, TN 37075-2382

Mailing address

185 Beverly Randolph Dr
Murfreesboro, TN 37129-1895

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eclinical

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180326000035 TN Practitioner - Nurse Practitioner 3779845102 Reassigns benefits to 1 organization

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
Comprehensive Neurology Center PLLCGroup PAC ID 0648442269, 21 clinicians

Practice addresses (Care Compare)

2548 Rideout LN
Murfreesboro, TN 37128-7686
Phone (615) 410-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Center, PLLC CurrentSince Jan 13, 2018 Accepting new patients
Comprehensive Neurology Center, PLLC Current Accepting new patients

Locations

1812 Haynes St
Clarksville, TN 37043
Phone (931) 552-1352

415 Henslee Dr
Dickson, TN 37055
Phone (615) 375-8287

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

353 New Shackle Island Rd
Ste 201A
Hendersonvlle, TN 37075
Phone (615) 822-5660

3901 Central Pike
Ste 257
Hermitage, TN 37076
Phone (615) 859-7546

2548 Rideout Ln
Murfreesboro, TN 37128
Phone 61541049901007

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1104365964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BEVERLY RANDOLPH DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 201A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752382",
            "telephone_number": "615-826-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eclinical",
            "affiliation": "N",
            "address_1": "300 Stonecrest Blvd Ste 230",
            "city": "Smyrna",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371676800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.