Individual provider Active NPI

Amy Lynn Mason, APRN

  • Family Nurse Practitioner
  • Mustang, OK
National Provider Identifier
1215661376
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
208259 Issued in OK
Practice address
160 E SW 59TH St
Mustang, OK 73064-4722
Phone
(405) 757-7818
Fax
(405) 703-0645
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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 208259 OK Primary

Addresses

Primary practice location

160 E SW 59TH St
Mustang, OK 73064-4722

Mailing address

606 N 3Rd St
Cashion, OK 73016-9406
Phone (405) 315-7591

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908002673 OK Practitioner - Nurse Practitioner 3971987025 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
208259OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trail Creek Wellness PC CurrentSince May 1, 2023 Accepting new patients
Triad Pediatrics, LLC Family CurrentSince Feb 24, 2025 Accepting new patients
R & a Family Wellness LLC Family Current Accepting new patients
Aky MD, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1001 Hospital Cir
Kingfisher, OK 73750
Phone (405) 368-5460

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Organizations & group practices 5

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1215661376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 3RD ST",
            "city": "CASHION",
            "state": "OK",
            "postal_code": "730169406",
            "telephone_number": "405-315-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E SW 59TH ST",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644722",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "208259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.