Michelle Masson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4785 Issued in WI

Practice address

1727 Van Hise Ave
Madison, WI 53726-4043

Phone

(910) 859-2322

Fax

(608) 265-8060

NPI assigned

Oct 15, 2010

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1356651053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 VAN HISE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537264043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 VAN HISE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537264043",
            "telephone_number": "910-859-2322",
            "fax_number": "608-265-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4785",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "4785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Carolina Masri, MD
• Beverly Ann Massey, LPN
• Justin T Massey
• Thomas Hardy Massing, PA-C
• Rebecca S Massmann
• Robert Massop, D.O.
• Shayan Massoumi, MD
• Jennifer L Mastick, LPC, ATR
• Aimee K Mastrangelo, PA
• Beril Mat, MD

• Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.