Individual provider Active NPI

Man Xie Mast

  • Adult Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1649458050
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
166521 Issued in NC
Practice address
1309 N Elm St
Greensboro, NC 27401-1005
Phone
(336) 544-5400
Fax
(336) 544-5401
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 166521 NC Primary

Addresses

Primary practice location

1309 N Elm St
Greensboro, NC 27401-1005

Mailing address

1309 N Elm Street
Greensboro, NC 27401
Phone (336) 544-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmast14561@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080609000799 NC Practitioner - Nurse Practitioner 1850461450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Affiliated Physicians, Inc. 80 clinicians

Practice addresses (Care Compare)

1309 N Elm St
Greensboro, NC 27401-1005
Phone (336) 544-5400

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Friends Homes at Guilford Nursing home, Greensboro, NC, CCN 345148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166521NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Adult Health CurrentSince Jan 1, 2013 Accepting new patients
Moses Cone Affiliated Physicians, Inc Current Accepting new patients
Piedmont Senior Care, PLLC Current Accepting new patients

Locations

1309 N Elm St
Greensboro, NC 27401
Phone (336) 544-5400

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

Interoperability endpoints

  • Direct secure messaging: mmast14561@direct.conehealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1649458050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N ELM STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-544-5400",
            "fax_number": "336-544-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011005",
            "telephone_number": "336-544-5400",
            "fax_number": "336-544-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "MAN",
        "middle_name": "XIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "166521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmast14561@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 N Elm St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.