Jessica Nicole Mastrapa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME132612 Issued in FL

Practice address

1000 Waterman Way
Tavares, FL 32778-5266

Phone

(352) 742-3578

Fax

(352) 742-3581

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Howard University College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie County Healthcare Systems Inc Hospital, Watford City, ND, CCN 351302
• Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
• McKenzie County Healthcare Systems Inc Nursing home, CCN 35Z302

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• McKenzie County Healthcare Systems Inc

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1396516506
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948

  Internal Medicine

  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Clinic/Center
  • Watford City, ND
  • NPI 1063420495
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Watford City, ND
  • NPI 1427079854
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Rural Health Clinic/Center
  • Watford City, ND
  • NPI 1457374217
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Obstetrics & Gynecology Physician
  • Watford City, ND
  • NPI 1689364598
  NPD (past)

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

• McKenzie County Healthcare Systems Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Watford City, ND
  • NPI 1427079854

  Nursing home

  Care Compare affiliation
• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948
  Care Compare affiliation
• Sanford Bismarck

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634
  Care Compare affiliation

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649698986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 DAVID WALKER DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785745",
            "telephone_number": "352-742-3578",
            "fax_number": "352-742-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785266",
            "telephone_number": "352-742-3578",
            "fax_number": "352-742-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRAPA",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME132612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jose Martinez
• Donald Keith Martino, CRNA
• Peter A. Marzek, M.D.
• Borys A Mascarenhas, M.D.
• Mohammad Hadi Masood, MD
• Matrix 5
• Matthew P Castner DO PA
• Matthew P. Castner, D.O., P.a.
• Maxine a Ruddock PHD P a
• Jennifer May, PT, DPT

• Internal Medicine Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.