MR. GLENN MASON (NP) – Nurse Practitioner, NPI 1184074643

MR. GLENN MASON (NP) is a healthcare provider. based in Louisville, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R888556 (MS). The NPI Number for MR. GLENN MASON (NP) is 1184074643

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. GLENN MASON (NP)
NPI
1184074643
Phone
(662) 328-1012
Address
17540 E Main St
Enumeration Date
15 June 2016
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6623281012
Graduation Year
2016 (10 years ago)
PAC ID
3971896986
Group Practice PAC ID
5890751945
Professional Enrollment ID
I20160728001913
Address ID
MS397053014CO670XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MR. GLENN MASON (NP)

  • 17540 E Main St

    Louisville, MS 393392772

    Phone: (662) 328-1012

    Type: Location

  • 4 Professional Plz

    Starkville, MS 397591901

    Phone: (662) 328-1012

    Type: Location

  • 8613 MS Highway 12

    Ackerman, MS 397358917

    Phone: (662) 328-1012

    Type: Location

  • 670 LEIGH DR

    COLUMBUS, MS 397053014

    Phone: (662) 328-1012

    Fax: (662) 328-1507

    Type: Location

  • PO BOX 1326

    STARKVILLE, MS 397601326

    Phone: (662) 615-2830

    Fax: (662) 615-2836

    Type: Mailing

  • Hospital Road, Cherokee Heights, Starkville, Oktibbeha County, Mississippi, 39760, United States

    STARKVILLE, MS 397592155

    Phone: (662) 615-3741

    Fax: (662) 615-3745

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Bioventus LLC ($108).

Total Amount

$204

General + Research + Ownership

Payments

11

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2016-07-28

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
I20160728001913INurse PractitionerMSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8960$0
20610Aspiration and/or injection of fluid from large joint6442$0
99212Established patient office or other outpatient visit, 10-19 minutes6146$0
J1040Injection, methylprednisolone acetate, 80 mg5528$0
99202New patient office or other outpatient visit, 15-29 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 39339)

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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: 5890751945View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMS
Orthopedic SurgeryMS
Orthopedic SurgeryMS
Nurse PractitionerMS
Interventional Pain Management, AnesthesiologyMS
Nurse PractitionerMS
Nurse PractitionerMS
Occupational Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS
Physical Therapist In Private PracticeMS

Reviews

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Frequently asked questions

How do payers reference MR. GLENN MASON (NP)?
For MR. GLENN MASON (NP), use NPI 1184074643 as the unique 10-digit identifier.
Active or inactive — what applies to MR. GLENN MASON (NP)?
You should see MR. GLENN MASON (NP) as active in CMS-hosted NPPES data.
What area of care is associated with MR. GLENN MASON (NP)?
MR. GLENN MASON (NP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. GLENN MASON (NP)?
Travel planning: use Louisville, Mississippi as the reference point for MR. GLENN MASON (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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