Individual provider Active NPI

Kaitlyn Mason, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1750976619
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216188 Issued in AR
Practice address
303 E Matthews Ave Ste 100
Jonesboro, AR 72401-3113
Phone
(870) 207-6309
Fax
(870) 207-6309
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216188 AR Primary

Addresses

Primary practice location

303 E Matthews Ave Ste 100
Jonesboro, AR 72401-3113

Mailing address

303 E Matthews Ave Ste 100
Jonesboro, AR 72401-3113
Phone (870) 207-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220428001714 AR Practitioner - Nurse Practitioner 9234526880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

303 E Matthews Ave
Suite 100
Jonesboro, AR 72401-3113
Phone (870) 207-2926

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216188ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Minor Medical LLC CurrentSince Jan 20, 2022 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 19, 2025 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Jan 19, 2025 Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

303 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 207-2926

136 Block St
Marion, AR 72364
Phone (870) 559-2314

Interoperability endpoints

  • Direct secure messaging: kmason@sbpc.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1750976619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013113",
            "telephone_number": "870-207-2926",
            "fax_number": "870-207-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013113",
            "telephone_number": "870-207-6309",
            "fax_number": "870-207-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KAITLYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.