Mason Kizziar, APRN-FNP, RNFA, CST

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1070127 Issued in TX

Practice address

1600 S Coulter St Ste B
Amarillo, TX 79106-0703

Phone

(806) 602-2361

Fax

(806) 356-0081

NPI assigned

Nov 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kent Weinheimer MD PAGroup PAC ID 0042644007, 2 clinicians

Top of Texas Orthopedics PLLCGroup PAC ID 1658802152, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkizziar98298@ahs.direct-ci.com

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.

• Kent Weinheimer MD PA

  • Orthopaedic Hand Surgery Physician
  • Amarillo, TX
  • NPI 1437795655
  Medicare reassignment Care Compare group NPD
• Top of Texas Orthopedics, P.L.L.C.

  • Orthopaedic Surgery Physician
  • Amarillo, TX
  • NPI 1417412172
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Physicians Surgical Hospitals, LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1912948845
  Care Compare affiliation

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1811394752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791060703",
            "telephone_number": "806-602-2361",
            "fax_number": "806-356-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791060703",
            "telephone_number": "806-602-2361",
            "fax_number": "806-356-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Quail Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79124",
            "country_code": "US",
            "telephone_number": "806-418-2548",
            "fax_number": "806-367-6307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIZZIAR",
        "first_name": "MASON",
        "credential": "APRN-FNP, RNFA, CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "116194",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "850536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1070127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Lynn Kirkland, MD
• Patrick James Kirkland, M.D.
• Ilan Kiselstein, DDS
• Lawrence Edward Kitchens III
• Donna Raef Kizziar, APRN, FNP-C
• KJB Anesthesia, PLLC
• Katrina D'Ann Klaehn, MA, LPC, LSOTP
• Klash Medical Billing Services
• Cara Rebecca Klaus
• John Wilfert Klein, M.D.

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.

Verify at the official NPI Registry.