Individual provider Active NPI

Neal Mason

  • Certified Registered Nurse Anesthetist
  • Tawas City, MI
National Provider Identifier
1861909186
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704273168 Issued in MI
Practice address
200 Hemlock St
Tawas City, MI 48763-9237
Phone
(989) 362-3411
NPI assigned
Jan 8, 2018
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704273168 MI Primary

Addresses

Primary practice location

200 Hemlock St
Tawas City, MI 48763-9237

Mailing address

PO Box 741861
Atlanta, GA 30374-1861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305001458 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234490442 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjmhs Anesthesia ServicesGroup PAC ID 7416053483, 103 clinicians

Practice addresses (Care Compare)

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC CurrentSince Jan 20, 2019 Accepting new patients
Sjmhs Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince May 12, 2019 Accepting new patients
Sjmhs Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince May 12, 2019 Accepting new patients
Sjmhs Anesthesia Services Current Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2019 Accepting new patients
West Michigan Aas LLC CurrentSince Jan 20, 2019 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Jan 25, 2019 Accepting new patients

Locations

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1861909186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741861",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEMLOCK ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639237",
            "telephone_number": "989-362-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "NEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704273168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.