Active NPI
Kendra Lynn Mason, PA
- Surgical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 9120274
- Practice address
- 2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172 - Phone
- (480) 882-4000
- NPI assigned
- Mar 24, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9120274 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 6040 | AZ | |
| Surgical Physician Assistant | 363AS0400X | 5603 | CO |
Addresses
Primary practice location
2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294
Other practice location 1
1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500
Other names 1
- Kendra Lynn Reilly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, VA, SD, CO, TN, KY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500
1887 Kingsley Ave
Suite 1900
Orange Park, FL 32073-4451
Phone (904) 276-2549
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6040 | AZ | MD | Pediatrics Physician |
| 1357 | SD | MD | Physical Therapist |
| 5575 | TN | MD | Physical Therapy Assistant |
| 5603 | CO | MD | Surgical Physician Assistant |
| 9120274 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Acute Care Surgical Affiliates of Texas PA | Past | Accepting new patients | |
| Honorhealth Ambulatory | Medical | Past | Accepting new patients |
Locations
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 882-5730
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
8 City Blvd
Ste 300
Nashville, TN 37209
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
220 Campus Blvd
Ste 100
Winchester, VA 22601
Interoperability endpoints
- kendra.mason@hca4.eclinicaldirectplus.com
- kmason204761@hisp.bryanhealth.org
- kendra.mason.p1@direct.toa.nextgenshare.com
Organizations & group practices 20
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Orthopaedic Trauma Physician
- Scottsdale, AZ
- NPI 1952357022
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1538153937
-
- Surgery Physician
- Winchester, VA
- NPI 1538316203
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1609490598
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Cardiovascular Disease Physician
- Delta, CO
- NPI 1427890573
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1659798056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306556",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306556",
"telephone_number": "615-329-2294",
"fax_number": "615-695-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W UTOPIA RD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274172",
"telephone_number": "480-882-4000"
}
],
"practiceLocations": [
{
"address_1": "1401 W Seminole Blvd",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "FL",
"postal_code": "327716743",
"country_code": "US",
"telephone_number": "407-321-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "KENDRA",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "9120274",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "6040",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "5603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "REILLY",
"middle_name": "LYNN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.