Active NPI
Man Xie Mast
- Adult Health Nurse Practitioner
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 166521
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
- Friends Homes at Guilford
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166521 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Moses Cone Affiliated Physicians, Inc. | Adult Health | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Greensboro, NC
- NPI 1346474103
NC
-
- Foot & Ankle Surgery Podiatrist
- Greensboro, NC
- NPI 1952614620
-
- Gynecology Physician
- Greensboro, NC
- NPI 1417610627
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1659673838
Adult Health
-
- Geriatric Medicine (Internal Medicine) Physician
- Greensboro, NC
- NPI 1770566846
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.