Active NPI
Mason P Hershorin, MSN ARNP
- Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1649201401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2516442
- Practice address
- 311 SW 99TH Terrace
Pembroke Pines, FL 33025-1065 - Phone
- (954) 444-7661
- Fax
- (954) 430-3261
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2516442 | FL | Primary |
Addresses
Primary practice location
311 SW 99TH Terrace
Pembroke Pines, FL 33025-1065
Mailing address
311 SW 99TH Terrace
Pembroke Pines, FL 33025-1065
Phone (954) 444-7661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302350800 | Medicaid | FL | |
| CK3521 | Other | TRICARE WPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2728 SE 16TH PL
Cape Coral, FL 33904-3209
Phone (239) 573-7598
Hospital & facility affiliations
- Preferred Care Home Health Services
- Amedisys Home Health
- All Broward Home Health Services Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2516442 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Hershorin MSN Arnp Inc. | Current | Accepting new patients | |
| Mason Hershorin MSN Arnp Inc. | Nurse Practitioner | Current | Accepting new patients |
| Integrated-1 Corp | Past | Accepting new patients |
Locations
2728 SE 16th Pl
Cape Coral, FL 33904
Phone (239) 573-7598
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Davie, FL
- NPI 1174601041
-
- Case Manager/Care Coordinator
- Davie, FL
- NPI 1710335310
-
- Assisted Living Facility
- Cape Coral, FL
- NPI 1841543550
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Davie, FL
- NPI 1487898136
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
-
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1649201401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 SW 99TH TERRACE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251065",
"telephone_number": "954-444-7661",
"fax_number": "954-430-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 SW 99TH TERRACE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251065",
"telephone_number": "954-444-7661",
"fax_number": "954-430-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHORIN",
"first_name": "MASON",
"middle_name": "P",
"credential": "MSN ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2516442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302350800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WPS",
"identifier": "CK3521",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.