Individual provider Active NPI

Jonathon Mason, PA-C

  • Physician Assistant
  • Kaunakakai, HI
National Provider Identifier
1508839143
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-1390 Issued in HI
Practice address
30 Oki Place
Kaunakakai, HI 96748
Phone
(808) 553-5038
Fax
(808) 553-3780
NPI assigned
Feb 13, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 659 AK
Physician Assistant 363A00000X AMD-1390 HI Primary

Addresses

Primary practice location

30 Oki Place
Kaunakakai, HI 96748

Mailing address

PO Box 2040
Kaunakakai, HI 96748-2040
Phone (808) 553-5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180511001355 TX Practitioner - Physician Assistant 8224079348
I20240904003134 HI Practitioner - Physician Assistant 8224079348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Molokai Ohana Health Care IncGroup PAC ID 5698664530, 6 clinicians

Practice addresses (Care Compare)

10 Mohala St
Kaunakakai, HI 96748-2040
Phone (808) 553-4511

30 Oki PL
Kaunakakai, HI 96748
Phone (808) 553-5038

PO Box
Kaunakakai, HI 96748

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
659AKMDPhysician Assistant
AMD-1390HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai Ohana Health Care, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Norton Sound Health Corporation Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathon.mason.1@23954.direct.athenahealth.com
  • Direct secure messaging: jonathonm@direct.eatribes.net

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 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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1508839143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2040",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967482040",
            "telephone_number": "808-553-5038",
            "fax_number": "808-553-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OKI PLACE",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-553-5038",
            "fax_number": "808-553-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JONATHON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "659",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaunakakai, HI

Sources for this page

Verify at the official NPI Registry.