Active NPI
Laurel S. Mast, MD
- Urology Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD61553629
- Practice address
- 939 Caroline St
Port Angeles, WA 98362-3909 - Phone
- (360) 417-7000
- NPI assigned
- Mar 24, 2017
- Last updated
- Nov 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD61553629 | WA | Primary |
| Urology Physician | 208800000X | 11924134-1205 | UT |
Addresses
Primary practice location
939 Caroline St
Port Angeles, WA 98362-3909
Mailing address
PO Box 850
Port Angeles, WA 98362-0146
Other practice location 1
30 N 1900 E Rm 3B427
Salt Lake City, UT 84132-0002
Phone (801) 213-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Oregon Health Sciences University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
907 Georgiana St
Port Angeles, WA 98362-3911
Phone (360) 565-0999
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.56 of 100
- Quality
- 80.73
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 74.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11924134-1205 | UT | MD | Urology Physician |
| MD61553629 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Medical Physicians | Current | Accepting new patients |
Locations
433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373
519 S Peabody St
Port Angeles, WA 98362
Phone (360) 565-9240
907 Georgiana St
Port Angeles, WA 98362
Phone (360) 565-0550
939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315
840 N 5th Ave
Ste 1500
Sequim, WA 98382
Phone (360) 582-2840
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.
-
- Family Medicine Physician
- Port Angeles, WA
- NPI 1427081967
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
dba Forks Community Hospital
- Critical Access Hospital
- Forks, WA
- NPI 1891879680
-
dba Jefferson Healthcare Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
dba Sleep Medicine, Jefferson Healthcare
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731801600000",
"number": "1588195135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-417-7000"
}
],
"practiceLocations": [
{
"address_1": "30 N 1900 E Rm 3B427",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841320002",
"country_code": "US",
"telephone_number": "801-213-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAST",
"first_name": "LAUREL",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2024-11-17",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD61553629",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "UT",
"license": "11924134-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.