Individual provider Active NPI

Magdaline Mason

  • Adult Health Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1790136190
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A004764 Issued in AR
Practice address
14 Parkstone Cir
North Little Rock, AR 72116-7086
Phone
(501) 258-4190
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A004764 AR Primary

Addresses

Primary practice location

14 Parkstone Cir
North Little Rock, AR 72116-7086

Mailing address

14 Parkstone Cir
North Little Rock, AR 72116-7086
Phone (501) 258-4190

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
I20160810000306 AR Practitioner - Nurse Practitioner 7315231636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3215 N Northhills Blvd
Washington Regional Hospital Medicine Group
Fayetteville, AR 72703-4424
Phone (479) 463-7102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004764ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Current Accepting new patients
Curana Health of Arkansas LLC CurrentSince Mar 26, 2018 Accepting new patients
Washington Regional Medical System CurrentSince Jun 20, 2022 Accepting new patients
Washington Regional Medical System CurrentSince Jun 20, 2022 Accepting new patients
Arkansas Palliative Care, LLC CurrentSince Jun 27, 2016 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

14 Parkstone Cir
#C
North Little Rock, AR 72116
Phone (501) 748-3333

14 Parkstone Cir
North Little Rock, AR 72116
Phone (501) 748-3333

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mmason34910@washingtonregional.direct-ci.com

Organizations & group practices 6

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 1

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1790136190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PARKSTONE CIR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167086",
            "telephone_number": "501-258-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PARKSTONE CIR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167086",
            "telephone_number": "501-258-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MAGDALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A004764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.