Individual provider Active NPI

Laynie Lyn Mason, PA-C

  • Physician Assistant
  • Fort Wayne, IN
National Provider Identifier
1790391571
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003529A Issued in IN
Practice address
1819 Carew St
Fort Wayne, IN 46805-4705
Phone
(317) 625-0179
NPI assigned
Sep 17, 2020
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10003529A IN Primary

Addresses

Primary practice location

1819 Carew St
Fort Wayne, IN 46805-4705

Mailing address

5808 Chazimal St
Plainfield, IN 46168-8521
Phone (317) 625-0179

Other practice location 1

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

Other practice location 2

1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone (317) 355-1411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmason@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220315000844 IN Practitioner - Physician Assistant 2466847207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1500 N Ritter Ave
Indianapolis, IN 46219-3027

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-6262

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as apm
Quality
88.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jan 1, 2024 Accepting new patients
Riverview Hospital CurrentSince Dec 8, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 1, 2024 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jan 1, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2598 W White River Blvd
Muncie, IN 47303
Phone (765) 282-7595

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: lmason@direct.iuhealth.org
  • Direct secure messaging: lmason11@direct.iuhealth.org
  • Direct secure messaging: lmason477109@ecommunitydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1790391571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 CHAZIMAL ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688521",
            "telephone_number": "317-625-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CAREW ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054705",
            "telephone_number": "317-625-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2598 W White River Blvd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473035251",
            "country_code": "US",
            "telephone_number": "765-747-3888",
            "fax_number": "765-288-2139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Ritter Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193027",
            "country_code": "US",
            "telephone_number": "317-355-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "LAYNIE",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003529A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmason@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.