Active NPI
Mason Flaningam
- Family Nurse Practitioner
- Bicknell, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71014148A
- Practice address
- 510 W 11TH St
Bicknell, IN 47512-9626 - Phone
- (812) 735-4040
- NPI assigned
- Jul 28, 2023
- Last updated
- Jul 28, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014148A | IN | Primary |
Addresses
Primary practice location
510 W 11TH St
Bicknell, IN 47512-9626
Mailing address
510 W 11TH St
Bicknell, IN 47512-9626
Other practice location 1
8875 s 800 e
montgomery, IN 47558
Phone (812) 687-7263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 W 11TH St
Bicknell, IN 47512-9626
Phone (812) 735-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014148A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Physician Services, Inc | Current | Accepting new patients | |
| Good Samaritan Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Physician Services Inc. | Past | Accepting new patients |
Locations
510 W 11th St
Bicknell, IN 47512
Phone (812) 735-4040
8976 E 800 N
Montgomery, IN 47558
Phone (812) 687-7263
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
Interoperability endpoints
- mbuckthal145305@direct.deaconess.com
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.
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
-
dba Good Samaritan Family Practice 100
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1760145973
-
- Radiation Oncology Physician
- Vincennes, IN
- NPI 1629050646
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1720769094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W 11TH ST",
"city": "BICKNELL",
"state": "IN",
"postal_code": "475129626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W 11TH ST",
"city": "BICKNELL",
"state": "IN",
"postal_code": "475129626",
"telephone_number": "812-735-4040"
}
],
"practiceLocations": [
{
"address_1": "8875 s 800 e",
"address_purpose": "LOCATION",
"city": "montgomery",
"state": "IN",
"postal_code": "47558",
"country_code": "US",
"telephone_number": "812-687-7263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLANINGAM",
"first_name": "MASON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71014148A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bicknell, IN
- Karla Cox, LPCA
- Joseph P Dale, OD
- Stanley Deweese, RPH
- Dr. Joseph P. Dale LLC
- Family Pharmacy, Inc.
- Tabitha Fleener, PTA
- Good Samaritan Family Health Center, Inc (Family Health Center)
- Good Samaritan Family Health Center, Inc (Family Health Center)
- Good Samaritan Hospital (GSH Bicknell Diagnostic Center)
- Good Samaritan Hospital (Good Samaritan Bicknell Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.