KAITLYN ANNA MASON – Family Nurse Practitioner, NPI 1609519586

KAITLYN ANNA MASON is a healthcare provider. based in Bonaire, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN239229 (GA). The NPI Number for KAITLYN ANNA MASON is 1609519586

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN ANNA MASON
NPI
1609519586
Phone
Not provided
Address
102 GRINDSTAFF DR
Enumeration Date
18 April 2022
Last Update Date
27 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708561202
Graduation Year
2022 (4 years ago)
PAC ID
4183003254
Group Practice PAC ID
2961814694
Professional Enrollment ID
I20220620001813
Address ID
GA310360000HA37XXXBYPA400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KAITLYN ANNA MASON

  • 102 GRINDSTAFF DR

    BONAIRE, GA 310053249

    Phone:

    Type: Mailing

  • 300 MEDICAL CT

    OGLETHORPE, GA 310682000

    Phone: (478) 458-9942

    Fax: (478) 458-9969

    Type: Location

  • 4196 HIGHWAY 62 412 STE A

    HARDY, AR 725428002

    Phone:

    Type: Mailing

  • 37 341 BYP

    HAWKINSVILLE, GA 310364839

    Phone: (478) 845-4842

    Fax: (833) 606-0577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $632.

Total Amount is formed as General ($632) + Research ($0) + Ownership ($0) = $632.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Novo Nordisk Inc ($144).

Total Amount

$632

General + Research + Ownership

Payments

38

Total payment records

General Amount

$632

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220620001813INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31005)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961814694View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is the standard ID for KAITLYN ANNA MASON in the U.S.?
In the U.S., KAITLYN ANNA MASON is identified by NPI 1609519586.
Is KAITLYN ANNA MASON currently accepting referrals based on NPI status?
Registry metadata lists KAITLYN ANNA MASON as active.
How should patients interpret KAITLYN ANNA MASON's specialty?
The extract shows Family Nurse Practitioner for KAITLYN ANNA MASON. Clinical services aligned with this taxonomy classification.
Is KAITLYN ANNA MASON tied to Bonaire, Georgia?
If you are local to Bonaire, Georgia, KAITLYN ANNA MASON may be relevant to your search.
Can I export KAITLYN ANNA MASON's record?
You can download the official NPPES record; we summarize key fields for readability.

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