Individual provider Active NPI

Amelia Frances Masson

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1376284935
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224272 Issued in LA
Practice address
1010 S Polk St
Covington, LA 70433-2474
Phone
(985) 871-5975
NPI assigned
Apr 6, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 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 224272 LA Primary

Addresses

Primary practice location

1010 S Polk St
Covington, LA 70433-2474

Mailing address

1010 S Polk St
Covington, LA 70433-2474
Phone (985) 871-5955

Other identifiers 1

IdentifierTypeStateIssuer
5478917MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220503000600 LA Practitioner - Nurse Practitioner 6800283219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224272LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 Single Specialty CurrentSince May 1, 2022 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Single Specialty CurrentSince May 1, 2022 Accepting new patients
St. Tammany Parish Hospital Service District No 1 PastSince Mar 31, 2024 Accepting new patients

Locations

1010 S Polk St
Covington, LA 70433
Phone (985) 871-5975

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

101 Ashland Way
Ste 1
Madisonville, LA 70447
Phone (985) 871-5955

Organizations & group practices 3

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 4

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1376284935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S POLK ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332474",
            "telephone_number": "985-871-5955",
            "fax_number": "985-871-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S POLK ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332474",
            "telephone_number": "985-871-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON",
        "first_name": "AMELIA",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5478917",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.