Active NPI
Drake Scott Mason, NP
- Nurse Practitioner
- Monroe, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8258307-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8258307-3102 | UT | MD | Diabetes Educator Registered Nurse |
| 8258307-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Saratoga Springs, UT
- NPI 1538867999
-
- Orthopaedic Surgery Physician
- Orem, UT
- NPI 1780017954
-
- Orthopaedic Surgery Physician
- American Fork, UT
- NPI 1891813960
-
- Pharmacist
- Provo, UT
- NPI 1922156884
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
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
Practice addresses (Care Compare)
568 S Main St
Monroe, UT 84754-4400
Phone (435) 527-8866
Hospital & facility affiliations
- Gunnison Valley Hospital
- Intermountain Health Sanpete Valley Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.