Peter Masterson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9238188 Issued in FL

Practice address

421 Kingsley Ave Ste 300
Orange Park, FL 32073-4898

Phone

(904) 621-0643

Fax

(904) 621-0644

NPI assigned

Jun 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.masterson.1@25110.direct.athenahealth.com

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.

• Physicians Group Services PA

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  Family, FL

  Medicare reassignment Care Compare group NPD
• PCP Financial Services LLC

  • Exclusive Provider Organization
  • Orange Park, FL
  • NPI 1134378078

  FL

  Medicare reassignment NPD
• Rmed LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1508815358

  FL

  Medicare reassignment NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452

  FL

  Medicare reassignment NPD
• Physicians Group Services PA

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
  • NPI 1699170035
  Care Compare group NPD
• Physicians Group Services PA

  • Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1174837504
  Care Compare group
• Physicians Group Services PA

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1467616169
  Care Compare group
• Physicians Group Services PA

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1497118160
  Care Compare group
• Physicians Group Services PA

  • Physical Medicine & Rehabilitation Physician
  • Orange Park, FL
  • NPI 1528371051
  Care Compare group
• Physicians Group Services PA

  • Pain Medicine Physician
  • Middleburg, FL
  • NPI 1639448921
  Care Compare group
• Physicians Group Services PA

  • Pain Medicine Physician
  • Fernandina Beach, FL
  • NPI 1649584079
  Care Compare group
• Physicians Group Services PA

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1700522299
  Care Compare group

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

• Brooks Home Care Advantage, Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1184895740
  Care Compare affiliation

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1679986129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 KINGSLEY AVE STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734898",
            "telephone_number": "904-621-0643",
            "fax_number": "904-621-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "PETER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9238188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012114300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149414A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry D. Marty Vigo, M.D.
• Mary Ann Kenneson, M.D., LLC
• Mary E. Schmieder DO. Facep, Inc
• Sharlind S Massey
• Master Your Journey Wellness Center, LLC
• Keziah E Matheson-Lindnal, L.P.N.
• Alexandra Kirsten Mathis, DO
• Annabelle M Matias, M.D.
• Rebecca Matos, PTA
• Celeste Matthews, MSW

• All providers in Orange Park, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.