Individual provider Active NPI

Katrina Mason - Green

  • General Practice Registered Nurse
  • Anna, TX
National Provider Identifier
1710600135
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
1090458 Issued in TX
Practice address
715 S Powell Pkwy
Anna, TX 75409-2586
Phone
(732) 318-7465
Fax
(682) 213-2892
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1090458 TX
General Practice Registered Nurse 163WG0000X 1090458 TX Primary

Addresses

Primary practice location

715 S Powell Pkwy
Anna, TX 75409-2586

Mailing address

2021 Wimbledon Dr
Allen, TX 75013-3027
Phone (732) 318-7465

Other practice location 1

2021 Wimbledon Dr
Allen, TX 75013-3027
Phone (732) 318-7465

Other practice location 2

8508 Sikorski Ln
Dallas, TX 75228-5447
Phone (972) 808-7541

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computer Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231130003612 TX Practitioner - Nurse Practitioner 5395193353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Wound Professionals LLCGroup PAC ID 8325578800, 3 clinicians

Practice addresses (Care Compare)

6012 Timber Creek LN
Dallas, TX 75248-2135
Phone (972) 338-4070

715 S Powell Pkwy
Anna, TX 75409-2586
Phone (732) 318-7465

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1090458TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citywide Housecalls, LLC CurrentSince Nov 22, 2023 Accepting new patients
Open Arms Home Primary Care LLC CurrentSince Jun 9, 2025 Accepting new patients
Mobile Wound Professionals LLC CurrentSince May 17, 2025 Accepting new patients

Locations

715 S Powell Pkwy
Ste 152
Anna, TX 75409

715 S Powell Pkwy
Anna, TX 75409
Phone (732) 318-7465

8035 E R L Thornton Fwy
Ste 424
Dallas, TX 75228
Phone (972) 808-7541

18383 Preston Rd
Ste 202
Dallas, TX 75252
Phone (469) 546-5539

1919 S Shiloh Rd
Ste 218
Garland, TX 75042
Phone (972) 808-7541

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1710600135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WIMBLEDON DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133027",
            "telephone_number": "732-318-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S POWELL PKWY",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754092586",
            "telephone_number": "732-318-7465",
            "fax_number": "682-213-2892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Wimbledon Dr",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133027",
            "country_code": "US",
            "telephone_number": "732-318-7465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8508 Sikorski Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752285447",
            "country_code": "US",
            "telephone_number": "972-808-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON - GREEN",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1090458",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "1090458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2021 Wimbledon Dr",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

Verify at the official NPI Registry.