Individual provider Active NPI

Drake Scott Mason, NP

  • Nurse Practitioner
  • Monroe, UT
National Provider Identifier
1194131516
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8258307-4405 Issued in UT
Practice address
568 S Main St
Monroe, UT 84754-4400
Phone
(435) 527-8866
Fax
(435) 527-4436
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 8258307-3102 UT
Nurse Practitioner 363L00000X 8258307-4405 UT Primary

Addresses

Primary practice location

568 S Main St
Monroe, UT 84754-4400

Mailing address

1055 North 500 West
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

95 East Center Street
Gunnison, UT 84634-8460
Phone (435) 528-7227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20170616001535 UT Practitioner - Nurse Practitioner 8224306170 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8258307-3102UTMDDiabetes Educator Registered Nurse
8258307-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince May 22, 2017 Accepting new patients
Revere Health PC CurrentSince May 22, 2017 Accepting new patients

Locations

191 S Main St
Ste 1
Ephraim, UT 84627
Phone (801) 655-5490

568 S Main St
Monroe, UT 84754
Phone (435) 527-8866

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

Interoperability endpoints

  • Direct secure messaging: drakemason@cuccu.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PC 407 clinicians

Practice addresses (Care Compare)

568 S Main St
Monroe, UT 84754-4400
Phone (435) 527-8866

Hospital & facility affiliations

  • Gunnison Valley Hospital Hospital, Gunnison, UT, CCN 461306
  • Intermountain Health Sanpete Valley Hospital Hospital, Mount Pleasant, UT, CCN 461303

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194131516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NORTH 500 WEST",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 S MAIN ST",
            "city": "MONROE",
            "state": "UT",
            "postal_code": "847544400",
            "telephone_number": "435-527-8866",
            "fax_number": "435-527-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 East Center Street",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "UT",
            "postal_code": "846348460",
            "country_code": "US",
            "telephone_number": "435-528-7227",
            "fax_number": "435-528-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "DRAKE",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "8258307-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8258307-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "568 S Main St",
            "city": "Monroe",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847544400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, UT

Sources for this page

Verify at the official NPI Registry.