Individual provider Active NPI

Valerie Kim Nelson-Mason, MD

  • Obstetrics & Gynecology Physician
  • Saint Charles, MO
National Provider Identifier
1316986508
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2005000368 Issued in MO
Practice address
330 1St Capitol Dr
Suite 340
Saint Charles, MO 63301-2835
Phone
(636) 255-3003
Fax
(636) 925-0954
NPI assigned
Jun 5, 2006
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2005000368 MO Primary

Addresses

Primary practice location

330 1St Capitol Dr
Suite 340
Saint Charles, MO 63301-2835

Mailing address

330 1St Capitol Dr
Suite 340
Saint Charles, MO 63301-2835
Phone (636) 255-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000231 MO Practitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 1557391794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Diego School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 1, 2016 Accepting new patients
SSM Health Care St. Louis Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
SSM Health Care St. Louis Obstetrics & Gynecology Past Accepting new patients
Southwest Houston OB/Gyncenter Obstetrics & Gynecology Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

330 1st Capitol Dr
Ste 340
Saint Charles, MO 63301
Phone (636) 255-3003

400 1st Capitol Dr
Ste 301
Saint Charles, MO 63301
Phone (636) 625-7715

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Interoperability endpoints

  • Direct secure messaging: vnelsonmason27796@direct-ehr-ssmhc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1316986508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR",
            "address_2": "SUITE 340",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012835",
            "telephone_number": "636-255-3003",
            "fax_number": "636-925-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR",
            "address_2": "SUITE 340",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012835",
            "telephone_number": "636-255-3003",
            "fax_number": "636-925-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-MASON",
        "first_name": "VALERIE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2005000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.