HEIDI LEIGH MASON (NP) – Nurse Practitioner, NPI 1639394083

HEIDI LEIGH MASON (NP) is a healthcare provider. based in Ann arbor, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704159718 (MI). The NPI Number for HEIDI LEIGH MASON (NP) is 1639394083

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI LEIGH MASON (NP)
NPI
1639394083
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
13 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7349364000
Graduation Year
1998 (28 years ago)
PAC ID
9739217563
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20100514000275
Address ID
MI481095000AN1500XDRXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for HEIDI LEIGH MASON (NP)

  • 3621 S STATE ST

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • 1051 NORTH CANTON CENTER RD

    CANTON, MI 48187

    Phone: (734) 844-5400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-05-14

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
I20100514000275INurse PractitionerMITBD

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 minutes15745$0
99215Established patient office or other outpatient visit, 40-54 minutes3020$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to HEIDI LEIGH MASON (NP)?
NPI 1639394083 is assigned to HEIDI LEIGH MASON (NP) under the national enumeration system.
Is HEIDI LEIGH MASON (NP) currently active in the NPI registry?
CMS-published data lists HEIDI LEIGH MASON (NP) as an active registrant.
What field does HEIDI LEIGH MASON (NP) work in?
You can think of HEIDI LEIGH MASON (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for HEIDI LEIGH MASON (NP)?
The page summarizes Ann Arbor, Michigan for HEIDI LEIGH MASON (NP); expand the address list for detail.
What if Ann Arbor, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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