Active NPI
Timothy S Mason, APRN
- Nurse Practitioner
- Lexington, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112479
- Practice address
- 1201 N Erie St
Lexington, NE 68850 - Phone
- (308) 324-5651
- NPI assigned
- Jun 13, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112479 | NE | Primary |
Addresses
Primary practice location
1201 N Erie St
Lexington, NE 68850
Mailing address
PO Box 980
Lexington, NE 68850-0980
Phone (308) 324-5651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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
- Nurse Practitioner
- Education
- University of Nebraska College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5205 2ND Ave
Suite 3
Kearney, NE 68847-2471
Phone (308) 708-2285
Hospital & facility affiliations
- Kearney Regional Medical Center
- CHI Health Good Samaritan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJ Four Family | Current | Accepting new patients | |
| Brad Rodgers MD Family Practice & Sports Medicine | Current | Accepting new patients |
Locations
5205 2nd Ave
Ste 3
Kearney, NE 68847
Phone (308) 708-2285
102 3rd Ave
Ste A
Kearney, NE 68845
Phone (308) 237-2273
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Kearney, NE
- NPI 1861941999
NE
Hospital & facility affiliations 3
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": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1992298962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980",
"city": "LEXINGTON",
"state": "NE",
"postal_code": "688500980",
"telephone_number": "308-324-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N ERIE ST",
"city": "LEXINGTON",
"state": "NE",
"postal_code": "68850",
"telephone_number": "308-324-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "TIMOTHY",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "112479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.