Active NPI
Sheila Mason, APRN
- Adult Health Nurse Practitioner
- Vinita, OK
National Provider Identifier
1134664683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0047049
- Practice address
- Department of Veterans Affairs Clinic
269 South 7TH Street
Vinita, OK 74301 - Phone
- (918) 713-5452
- Fax
- (918) 713-5491
- NPI assigned
- Dec 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0047049 | OK | Primary |
Addresses
Primary practice location
Department of Veterans Affairs Clinic
269 South 7TH Street
Vinita, OK 74301
Mailing address
Department of Veterans Affairs Clinic
269 South 7TH Street
Vinita, OK 74301
Phone (918) 713-5452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG1116138 | Other | OK | AANP CERTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702002817 | OK | Order and Referring Only - Nurse Practitioner | 4486936853 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0047049 | OK | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1134664683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS CLINIC",
"address_2": "269 SOUTH 7TH STREET",
"city": "VINITA",
"state": "OK",
"postal_code": "74301",
"telephone_number": "918-713-5452",
"fax_number": "918-713-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS CLINIC",
"address_2": "269 SOUTH 7TH STREET",
"city": "VINITA",
"state": "OK",
"postal_code": "74301",
"telephone_number": "918-713-5452",
"fax_number": "918-713-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SHEILA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-19",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OK",
"license": "0047049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERTIFICATION NUMBER",
"identifier": "AG1116138",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.