Individual provider Active NPI

Kendra Lynn Mason, PA

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1659798056
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9120274 Issued in FL
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA, SD, CO, TN, KY, FL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20150604000953 AZ Practitioner - Physician Assistant 5698789824 Reassigns benefits to 2 organizations
I20190319001350 VA Practitioner - Physician Assistant 5698789824 Reassigns benefits to 1 organization
I20220420003240 SD Practitioner - Physician Assistant 5698789824 Reassigns benefits to 1 organization
I20230308002708 CO Practitioner - Physician Assistant 5698789824 Reassigns benefits to 2 organizations
I20230808001005 TN Practitioner - Physician Assistant 5698789824 Reassigns benefits to 1 organization
I20250115002214 KY Practitioner - Physician Assistant 5698789824 Reassigns benefits to 1 organization
I20250701003696 FL Practitioner - Physician Assistant 5698789824 Reassigns benefits to 1 organization

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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

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

LicenseStateTypeSpecialty
6040AZMDPediatrics Physician
1357SDMDPhysical Therapist
5575TNMDPhysical Therapy Assistant
5603COMDSurgical Physician Assistant
9120274FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jan 9, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 3, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 23, 2019 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 23, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 1, 2024 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 17, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 1, 2019 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 17, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 1, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 3, 2023 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

  • Direct secure messaging: kendra.mason@hca4.eclinicaldirectplus.com
  • Direct secure messaging: kmason204761@hisp.bryanhealth.org
  • Direct secure messaging: 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.

View all 20

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": "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

Verify at the official NPI Registry.