Active NPI
Mason Taylor Heberle, NP
- Primary Care Nurse Practitioner
- Reston, VA
National Provider Identifier
1760321723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 0024196882
- Practice address
- 11800 Sunrise Valley Dr Ste 700
Reston, VA 20191-5315 - Phone
- (703) 834-1473
- NPI assigned
- Mar 26, 2026
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 0024196882 | VA | Primary |
Addresses
Primary practice location
11800 Sunrise Valley Dr Ste 700
Reston, VA 20191-5315
Mailing address
14013 Eagle Chase Cir
Chantilly, VA 20151-2241
Phone (571) 585-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 Sunrise Valley Dr
Suite 700
Reston, VA 20191-5315
Phone (703) 834-1473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024196882 | VA | MD | Primary Care Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1760321723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14013 EAGLE CHASE CIR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512241",
"telephone_number": "571-585-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR STE 700",
"city": "RESTON",
"state": "VA",
"postal_code": "201915315",
"telephone_number": "703-834-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERLE",
"first_name": "MASON",
"middle_name": "TAYLOR",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "0024196882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.