Active NPI
Kaylee Mason Herrero, PA
- Physician Assistant
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7227
- Practice address
- 1739 E Beverly Ave Ste 102
Kingman, AZ 86409-3593 - Phone
- (928) 681-8693
- NPI assigned
- Aug 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7227 | AZ | Primary |
Addresses
Primary practice location
1739 E Beverly Ave Ste 102
Kingman, AZ 86409-3593
Mailing address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 263-4722
Other names 1
- Kaylee Mason Mueller
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1739 E Beverly Ave
Kingman, AZ 86409-3593
2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 263-4722
4995 E Hwy 68
Suite 1
Golden Valley, AZ 86413-5500
Phone (928) 681-8500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.85 of 100
- Quality
- 84.49
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 79.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7227 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Physician Assistant | Past | Accepting new patients |
Locations
1739 E Beverly Ave
Ste 102
Kingman, AZ 86409
Phone (928) 681-8693
3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
3801 Santa Rosa Dr
Ste 102
Kingman, AZ 86401
Phone (928) 263-3516
Interoperability endpoints
- herrero.kaylee.mason@direct.azkrmc.md
Organizations & group practices 5
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.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
dba Paragon Healthcare of Arizona, LLC
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1538694104
-
dba KRMC Community Pharmacy
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Western Arizona Regional Medical Center
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
-
dba Fox Creek Urgent Care
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1598243149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3269 N STOCKTON HILL RD",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093619",
"telephone_number": "928-263-4722",
"fax_number": "928-263-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 E BEVERLY AVE STE 102",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093593",
"telephone_number": "928-681-8693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERO",
"first_name": "KAYLEE",
"middle_name": "MASON",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-04",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLEE",
"last_name": "MUELLER",
"middle_name": "MASON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.