Individual provider Active NPI

Catherine P Mast, RN NP

  • Nurse Practitioner
  • Edwards, CO
National Provider Identifier
1871762955
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001237C-NP Issued in CO
Practice address
322 Beard Creek Rd
Edwards, CO 81632
Phone
(970) 569-7600
Fax
(970) 569-7604
NPI assigned
Feb 22, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0001237C-NP CO Primary
Registered Nurse 163W00000X RN174203 CO

Addresses

Primary practice location

322 Beard Creek Rd
Edwards, CO 81632

Mailing address

PO Box 1150
Vail, CO 81658-1150
Phone (970) 476-2451

Other identifiers 1

IdentifierTypeStateIssuer
RXN06191OtherCOCO BOARD NURSING PRESCRIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090707000393 AZ Practitioner - Nurse Practitioner 1355492166 Reassigns benefits to 1 organization
I20191007000491 CO Practitioner - Nurse Practitioner 1355492166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
FL 2
Scottsdale, AZ 85258-4566
Phone (480) 320-1350

1280 Village Rd
Avon, CO 81620-5374
Phone (970) 949-0800

320 Beard Creek Rd
Suite 1100
Edwards, CO 81632-6433
Phone (970) 569-7777

322 Beard Creek Rd
Edwards, CO 81632-6433
Phone (970) 569-7622

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN174203COMDRegistered Nurse
0001237C-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Jun 1, 2009 Accepting new patients
Vail Clinic, Inc. CurrentSince Jul 27, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2009 Accepting new patients
Vail Clinic, Inc. CurrentSince Jul 27, 2019 Accepting new patients
Jersey Shore Medical Associates PC Past Accepting new patients

Locations

10460 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1573

10510 N 92nd St
Fl 2
Scottsdale, AZ 85258
Phone (480) 320-1350

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 476-8872

Interoperability endpoints

  • Direct secure messaging: cmast104483@direct.honorhealth.com

Organizations & group practices 6

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 7

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871762955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816581150",
            "telephone_number": "970-476-2451",
            "fax_number": "970-479-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-569-7600",
            "fax_number": "970-569-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "CATHERINE",
        "middle_name": "P",
        "credential": "RN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0001237C-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN174203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO BOARD NURSING PRESCRIP",
            "identifier": "RXN06191",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.