Individual provider Active NPI

Dazia Mason, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1760015663
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014363 Issued in KY
Practice address
2746 Virginia Ave
Louisville, KY 40211-3417
Phone
(502) 815-7040
NPI assigned
Feb 19, 2020
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 3014363 KY Primary

Addresses

Primary practice location

2746 Virginia Ave
Louisville, KY 40211-3417

Mailing address

PO Box 909
Louisville, KY 40201-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200819003647 KY Practitioner - Nurse Practitioner 3678999752 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2400 Eastpoint Pkwy
Suite 100
Louisville, KY 40223-4154
Phone (502) 210-4800

2746 Virginia Ave
Louisville, KY 40211-3417
Phone (502) 815-7040

5129 Dixie Hwy
Suite 100
Louisville, KY 40216-1727
Phone (502) 447-3338

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC CurrentSince May 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2021 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 18, 2024 Accepting new patients
Mason Medical Transport Plus, LLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 18, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

96 Future Dr
Corbin, KY 40701

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

2746 Virginia Ave
Louisville, KY 40211
Phone (502) 772-1883

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: ddillard30782@uoflhealth-dm.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1760015663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 VIRGINIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402113417",
            "telephone_number": "502-815-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DAZIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.