MASON M. SHIVES – Family Nurse Practitioner, NPI 1699306811

MASON M. SHIVES is a healthcare provider. based in Cave city, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 3014190 (KY). The NPI Number for MASON M. SHIVES is 1699306811

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MASON M. SHIVES
NPI
1699306811
Phone
(270) 773-2600
Address
400 N DIXIE HWY
Enumeration Date
27 January 2020
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707732600
Graduation Year
2019 (7 years ago)
PAC ID
3779910005
Group Practice PAC ID
4082511167
Professional Enrollment ID
I20200227000417
Address ID
KY421279546CA400XXHWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MASON M. SHIVES

  • 400 N DIXIE HWY

    CAVE CITY, KY 421279546

    Phone: (270) 773-2600

    Fax: (270) 361-5101

    Type: Location

  • 405 S L ROGERS WELLS BLVD

    GLASGOW, KY 421411725

    Phone: (270) 794-0260

    Fax: (270) 361-5001

    Type: Location

  • 201 PARK ST

    BOWLING GREEN, KY 421011708

    Phone: (270) 781-5111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Novo Nordisk Inc ($155).

Total Amount

$169

General + Research + Ownership

Payments

10

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-02-27

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
I20200227000417INurse PractitionerKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes469281$0
99213Established patient office or other outpatient visit, 20-29 minutes290207$0
J1100Injection, dexamethasone sodium phosphate, 1 mg21752$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg19048$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count142110$0
View full utilization report →

Insurance plans in this area (ZIP 42127)

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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: 4082511167View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MASON M. SHIVES?
NPI 1699306811 is assigned to MASON M. SHIVES under the national enumeration system.
Is MASON M. SHIVES currently active in the NPI registry?
CMS-published data lists MASON M. SHIVES as an active registrant.
What field does MASON M. SHIVES work in?
You can think of MASON M. SHIVES as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MASON M. SHIVES?
We surface Cave City, Kentucky for MASON M. SHIVES based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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