KELSEY J. MASON (FNP-BC) – Nurse Practitioner, NPI 1134551641
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KELSEY J. MASON (FNP-BC)
13802 LAKE POINT CIR
STE 102
LOUISVILLE, KY 402234219
Phone: (502) 245-4450
Fax: (502) 245-3532
Type: Mailing
751 N RUTLEDGE ST
SUITE 2300
SPRINGFIELD, IL 627024968
Phone: (217) 545-8000
Fax: (217) 545-4485
Type: Location
5310 HARVEST HILL RD STE 290
DALLAS, TX 752305826
Phone: (214) 420-0650
Fax: (214) 736-0512
Type: Mailing
3265 NE RALPH POWELL RD
LEES SUMMIT, MO 640642301
Phone: (816) 524-4747
Fax: (816) 524-4929
Type: Location
2 CARLSON PKWY N STE 240
PLYMOUTH, MN 554474485
Phone: (763) 367-7110
Fax: (763) 317-1566
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 224 Open Payments records for all available years, with a total value of $3,849.
Total Amount is formed as General ($3,849) + Research ($0) + Ownership ($0) = $3,849.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($687).
Total Amount
$3,849
General + Research + Ownership
Payments
224
Total payment records
General Amount
$3,849
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $687 |
| Janssen Biotech, Inc. | $366 |
| Dermavant Sciences, Inc. | $335 |
| Novartis Pharmaceuticals Corporation | $325 |
| E.R. Squibb & Sons, L.L.C. | $268 |
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: 2020-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
2
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131007000291 | I | Nurse Practitioner | IL | 2023-10-31 |
| I20200831002153 | I | Nurse Practitioner | MO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,160 | 254 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 508 | 391 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 487 | 420 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 457 | 360 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 449 | 350 | $0 |
Insurance plans in this area (ZIP 40223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Nurse Practitioner | IL | |
| Pathology, Dermatology | MO | |
| Micrographic Dermatologic Surgery (Mds) | NY | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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