Individual provider Active NPI

Merita Thomas Mason

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1508104563
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9272783 Issued in FL
Practice address
1653 Regal Oak Dr
Kissimmee, FL 34744-6644
Phone
(407) 350-4613
Fax
(407) 350-4613
NPI assigned
Jan 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9272783 FL
Family Nurse Practitioner 363LF0000X ARNP9272783 FL Primary

Addresses

Primary practice location

1653 Regal Oak Dr
Kissimmee, FL 34744-6644

Mailing address

1653 Regal Oak Dr
Kissimmee, FL 34744-6644
Phone (407) 350-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180514000924 FL Practitioner - Nurse Practitioner 2668736992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9272783FLMDRegistered Nurse
ARNP9272783FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon on Granada, LLC CurrentSince Nov 10, 2019 Accepting new patients
Positive Assistance, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Merlox Haven LLC CurrentSince Oct 8, 2019 Accepting new patients
Cadet'S Solutions for the Body and Soul (CSBS), LLC PastSince Dec 6, 2022 Accepting new patients

Locations

7156 W Colonial Dr
Orlando, FL 32818
Phone (407) 412-6569

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1508104563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 REGAL OAK DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446644",
            "telephone_number": "407-350-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 REGAL OAK DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446644",
            "telephone_number": "407-350-4613",
            "fax_number": "407-350-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS MASON",
        "first_name": "MERITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-26",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9272783",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9272783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.