Merl J. Mast, MERL MAST

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003521A Issued in IN

Practice address

5735 S Ironwood Rd
South Bend, IN 46614-9668

Phone

(574) 299-4847

NPI assigned

Jul 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Merl Mast Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ambulatory Care Solutions

  • Family Nurse Practitioner
  • South Bend, IN
  • NPI 1952519894
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1235441924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 S IRONWOOD RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466149668",
            "telephone_number": "574-299-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 S IRONWOOD RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466149668",
            "telephone_number": "574-299-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "MERL",
        "middle_name": "J.",
        "credential": "MERL MAST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003521A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERL",
            "last_name": "MAST",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charbel F Maskiny, MD
• Jennifer Marie Maskulinski, MA, CCC-SLP
• Destiney Marie Mason
• Heather Mason, MSW
• Ieshia Maxine Mason, RBT
• Kellen Mastick, MD
• Kyle Thomas Matheson, DPT
• Kim Mathews, MS
• Tobin J Mathews, M.D.
• Ashley Mathis, PT, DPT

• Family Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.

Verify at the official NPI Registry.