Individual provider Active NPI

Lana Fretz-Mason, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1568960466
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10932 Issued in AZ
Practice address
1505 N Swan Rd Ste 121
Tucson, AZ 85712-4044
Phone
(520) 795-3090
Fax
(520) 795-3537
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60832750 WA
Family Nurse Practitioner 363LF0000X AP10932 AZ Primary

Addresses

Primary practice location

1505 N Swan Rd Ste 121
Tucson, AZ 85712-4044

Mailing address

1505 N Swan Rd Ste 121
Tucson, AZ 85712-4044

Other practice location 1

111 El Camino Real
Sierra Vista, AZ 85635-2807
Phone (520) 795-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210125003086 AZ Practitioner - Nurse Practitioner 0749544674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10932AZMDFamily Nurse Practitioner
AP60832750WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Gastroenterology, P.C. CurrentSince Feb 1, 2021 Accepting new patients

Locations

111 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 459-3850

1505 N Swan Rd
Ste 121
Tucson, AZ 85712
Phone (520) 795-3090

Interoperability endpoints

  • Direct secure messaging: lfretzmason368015@direct.peacehealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1568960466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352807",
            "country_code": "US",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRETZ-MASON",
        "first_name": "LANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60832750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.