Active NPI
Jennifer Marie Mason, PA-C
- Medical Physician Assistant
- Miami, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4435
- Practice address
- 310 2ND Ave SW Ste 203
Miami, OK 74354-6702 - Phone
- (918) 540-7814
- NPI assigned
- Oct 29, 2020
- Last updated
- Sep 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4435 | OK | Primary |
Addresses
Primary practice location
310 2ND Ave SW Ste 203
Miami, OK 74354-6702
Mailing address
310 2ND Ave SW Ste 203
Miami, OK 74354-6702
Phone (918) 540-7814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 B St SW
Integris Miami Physicians Clinic
Miami, OK 74354-6808
Phone (918) 542-5551
310 2ND Ave SW
Integris Medical Group Miami
Miami, OK 74354-6743
Phone (918) 542-6611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Miami Hospital | Current | Accepting new patients | |
| Integris Miami Hospital | Past | Accepting new patients | |
| Integris Rural Health Inc | Past | Accepting new patients |
Locations
30 B St SW
Miami, OK 74354
Phone (918) 542-2273
310 2nd Ave SW
Ste 203
Miami, OK 74354
Phone (918) 540-7788
3001 Quail Springs Pkwy
Oklahoma City, OK 73134
Interoperability endpoints
- jwalker188337@direct.integrisok.com
Organizations & group practices 5
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.
-
dba INTEGRIS Miami Physicians Clinic
- Rural Health Clinic/Center
- Miami, OK
- NPI 1912508375
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
dba INTEGRIS Express Care Miami
- Rural Health Clinic/Center
- Miami, OK
- NPI 1992305627
-
- General Acute Care Hospital
- Miami, OK
- NPI 1114931342
-
dba Integris Canadian Valley Family Care Clinic
- Family Medicine Physician
- Mustang, OK
- NPI 1962403030
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- General Acute Care Hospital
- Miami, OK
- NPI 1114931342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1972103810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 2ND AVE SW STE 203",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546702",
"telephone_number": "918-540-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 2ND AVE SW STE 203",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546702",
"telephone_number": "918-540-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "4435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.