Mason Thomas Matzek, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Paducah, KY
NPI 1821723909 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1821723909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 3018186 (KY)
- Practice address
- 2501 Kentucky Ave
Paducah, KY 42003-3813 - Phone
- (270) 575-2100
- NPI assigned
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Anesthesia Partners PLLC
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100
Hospital & facility affiliations
- Baptist Health Paducah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221117002018 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749658060 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018186 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Anesthesia Partners, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3018186 | KY | Yes |
Addresses
Primary practice location
2501 Kentucky Ave
Paducah, KY 42003-3813
Mailing address
624 Derby Cir
Paducah, KY 42003-1264
Other providers in Paducah, KY
- Robert P Masse
- Grant Mathis
- Emma Caroline Mattingly
- Holly C Mattingly
- Mattress Gallery
- David John Mauterer
- Tish Chambrae Mavigliano
- Elizabeth I Maxedon
- Brittany Ann May
- Alexandra Antonia Maynard
All providers in Paducah, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.