Individual provider Active NPI

Mason Lee Kerian

  • Family Nurse Practitioner
  • Waukon, IA
National Provider Identifier
1366315764
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A187102 Issued in IA
Practice address
105 E Main St
Waukon, IA 52172-1735
Phone
(563) 568-5530
NPI assigned
Sep 24, 2025
Last updated
Jan 2, 2026By the provider in NPPES
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 A187102 IA Primary

Addresses

Primary practice location

105 E Main St
Waukon, IA 52172-1735

Mailing address

105 E Main St
Waukon, IA 52172-1735
Phone (563) 568-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20251027002644 IA Practitioner - Nurse Practitioner 9436648912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

105 E Main St
VMH Medical Clinic Waukon
Waukon, IA 52172-1735
Phone (563) 568-5530

124 W Greene St
Postville, IA 52162-7772
Phone (563) 864-7221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A187102IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Dec 1, 2025 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Dec 1, 2025 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Dec 1, 2025 Accepting new patients

Locations

105 E Main St
Waukon, IA 52172
Phone (319) 568-3449

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

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 1

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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1366315764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721735",
            "telephone_number": "563-568-5530",
            "fax_number": "563-568-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721735",
            "telephone_number": "563-568-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERIAN",
        "first_name": "MASON",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A187102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

Verify at the official NPI Registry.