Individual provider Active NPI

Laura Mason, NP

  • Nurse Practitioner
  • Grand Island, NY
National Provider Identifier
1821056698
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
303938 Issued in NY
Practice address
1990 Whitehaven Rd
Grand Island, NY 14072-1846
Phone
(716) 453-1423
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 303938 NY Primary

Addresses

Primary practice location

1990 Whitehaven Rd
Grand Island, NY 14072-1846

Mailing address

22 Trails End
Grand Island, NY 14072-2189
Phone (716) 887-5200

Other practice location 1

3 Gates Cir
Buffalo, NY 14209-1120
Phone (716) 887-5200 ext. 2137

Other practice location 2

40 George Karl Blvd
Williamsville, NY 14221-7183
Phone (716) 218-1000

Other identifiers 4

IdentifierTypeStateIssuer
INDEPENDENT HEALTHOtherNY9512432
02526149MedicaidNY
BLUE CROSSOtherNY000560867001
UNIVERAOtherNY00026705101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040806001000 NY Practitioner - Nurse Practitioner 6507838927 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303938NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Apr 1, 2004 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Apr 1, 2004 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 539-0888

Organizations & group practices 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1821056698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TRAILS END",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722189",
            "telephone_number": "716-887-5200",
            "fax_number": "716-625-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721846",
            "telephone_number": "716-453-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Gates Cir",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091120",
            "country_code": "US",
            "telephone_number": "716-887-5200 x2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 George Karl Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217183",
            "country_code": "US",
            "telephone_number": "716-218-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "303938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9512432",
            "identifier": "INDEPENDENT HEALTH",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02526149",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000560867001",
            "identifier": "BLUE CROSS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00026705101",
            "identifier": "UNIVERA",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

Verify at the official NPI Registry.