NPIMap

Individual provider Active NPI

Kristie Marie Mason, MD

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1780904987
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27917 Issued in OK
Practice address
5606 SW Lee Blvd
Suite 303
Lawton, OK 73505-9688
Phone
(580) 531-6455
Fax
(580) 531-6493
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27917 OK Primary

Addresses

Primary practice location

5606 SW Lee Blvd
Suite 303
Lawton, OK 73505-9688

Mailing address

5606 SW Lee Blvd
Suite 303
Lawton, OK 73505-9688
Phone (580) 531-6455

Other identifiers 1

IdentifierTypeStateIssuer
200331310AMedicaidOK

Other names 1

  • Kristie Marie Craig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131003000486 OK Practitioner - Family Practice 1254565385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Surgical Affiliates, LLCGroup PAC ID 0941365308, 22 clinicians

Practice addresses (Care Compare)

5606 SW Lee Blvd
Lawton, OK 73505-9651

5606 SW Lee Blvd
Suite 301
Lawton, OK 73505-9618
Phone (580) 531-6455

Hospital & facility affiliations

  • Centric Home Health Home health agency, Durant, OK, CCN 377791
  • Elara Caring Xxiv Home health agency, Lawton, OK, CCN 377660
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Southwestern Medical Center Hospital, Lawton, OK, CCN 370097

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27917OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC CurrentSince Sep 1, 2013 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Comanche County Healthcare Past Accepting new patients

Locations

5606 SW Lee Blvd
Ste 303
Lawton, OK 73505
Phone (580) 531-6455

5606 SW Lee Blvd
Ste 206
Lawton, OK 73505
Phone (580) 531-4875

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

5606 SW Lee Blvd
Ste 301
Lawton, OK 73505
Phone (580) 510-3018

Interoperability endpoints

  • Direct secure messaging: kristie.mason.1@1821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 7

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 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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1780904987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 303",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-531-6455",
            "fax_number": "580-531-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 303",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-531-6455",
            "fax_number": "580-531-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KRISTIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "CRAIG",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.