Individual provider Active NPI

Haley Nicole Mason, CNP

  • Family Nurse Practitioner
  • Redfield, SD
National Provider Identifier
1922834266
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003363 Issued in SD
Practice address
111 W 10TH Ave
Redfield, SD 57469-1519
Phone
(605) 472-1110
NPI assigned
Sep 12, 2024
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP003363 SD Primary
Family Medicine Physician 207Q00000X CP003363 SD

Addresses

Primary practice location

111 W 10TH Ave
Redfield, SD 57469-1519

Mailing address

17634 SD Highway 37
Frankfort, SD 57440-7300
Phone (605) 280-3786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20241016002762 SD Practitioner - Nurse Practitioner 7214469170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of RedfieldGroup PAC ID 5698757631, 12 clinicians

Practice addresses (Care Compare)

1010 W 1St St
Redfield, SD 57469-1502
Phone (605) 472-0510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP003363SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Redfield CurrentSince Oct 1, 2024 Accepting new patients
City of Redfield CurrentSince Jan 1, 2026 Accepting new patients
City of Redfield CurrentSince Oct 1, 2024 Accepting new patients
City of Redfield Past Accepting new patients

Locations

1010 W 1st St
Redfield, SD 57469
Phone (605) 472-0510

111 W 10th Ave
Redfield, SD 57469
Phone (605) 472-1110

Organizations & group practices 4

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 4

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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1922834266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17634 SD HIGHWAY 37",
            "city": "FRANKFORT",
            "state": "SD",
            "postal_code": "574407300",
            "telephone_number": "605-280-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 10TH AVE",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691519",
            "telephone_number": "605-472-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003363",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "CP003363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redfield, SD

Sources for this page

Verify at the official NPI Registry.