Active NPI
Mason James Lukas, PA-C
- Physician Assistant
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1110 Kepler Dr
Green Bay, WI 54311-8306 - Phone
- (920) 288-5555
- Fax
- (920) 288-5550
- NPI assigned
- Jul 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1110 Kepler Dr
Green Bay, WI 54311-8306
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- University of Wisconsin School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1160 Kepler Dr
Green Bay, WI 54311-8321
Phone (920) 288-5555
2845 Greenbrier Rd
Green Bay, WI 54311-6519
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-3187
719 Doctors CT
Oshkosh, WI 54901-2077
Phone (920) 235-6779
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.21 of 100
- Quality
- 78.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7417 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Past | Accepting new patients |
Interoperability endpoints
- mlukas886718@direct.froedtert.com
- mlukas228514@direct.myadvocateaurora.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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1588609648
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
-
dba Aurora Medical Center Bay Area Clinical Medical Laboratory
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
-
dba Aurora Medical Center Bay Area
- Land Ambulance
- Marinette, WI
- NPI 1427135557
Hospital
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1639802820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118320",
"fax_number": "920-405-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118306",
"telephone_number": "920-288-5555",
"fax_number": "920-288-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKAS",
"first_name": "MASON",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.