NPIMap

Individual provider Active NPI

Elise Mason, MS NP-C

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1336423797
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
737269 Issued in TX
Practice address
3201 S Austin Ave Ste 210
Georgetown, TX 78626-7639
Phone
(512) 763-4000
Fax
(512) 930-4946
NPI assigned
Oct 4, 2011
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 737269 TX Primary

Addresses

Primary practice location

3201 S Austin Ave Ste 210
Georgetown, TX 78626-7639

Mailing address

3201 S Austin Ave Ste 210
Georgetown, TX 78626-7639
Phone (512) 763-4000

Other names 1

  • Elise Klose Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ELISE.MASON@hca8.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000589 TX Practitioner - Nurse Practitioner 2163688110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Area Primary Care, PLLCGroup PAC ID 9537237482, 19 clinicians

Practice addresses (Care Compare)

105 Wildwood Dr
Suite 105
Georgetown, TX 78633-1344
Phone (512) 763-4060

109 Estrella Xing
Georgetown, TX 78628-6991
Phone (512) 943-9804

3201 S Austin Ave
Georgetown, TX 78626-7639

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Primary Care, PLLC CurrentSince Nov 18, 2013 Accepting new patients
Georgetown Medical Center P a Current Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients
Phynet, Inc. Past Accepting new patients

Locations

3201 S Austin Ave
Ste 210
Georgetown, TX 78626
Phone (512) 763-4000

105 Wildwood Dr
Ste 105
Georgetown, TX 78633
Phone (512) 763-4060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elise.mason@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 4164-mason-elise@direct.leadingreach.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1336423797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE STE 210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267639",
            "telephone_number": "512-763-4000",
            "fax_number": "512-930-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE STE 210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267639",
            "telephone_number": "512-763-4000",
            "fax_number": "512-930-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ELISE",
        "credential": "MS NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "737269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ELISE.MASON@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3201 S Austin Ave Ste 210",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786267639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "KLOSE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.