MCKAYLA MASON – Nurse Practitioner, NPI 1073403127

MCKAYLA MASON is a healthcare provider. based in Johnson city, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 39162 (TN). The NPI Number for MCKAYLA MASON is 1073403127

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MCKAYLA MASON
NPI
1073403127
Phone
(423) 926-2358
Address
2717 E OAKLAND AVE
Enumeration Date
8 July 2025
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
9133628878
Group Practice PAC ID
7315242302
Professional Enrollment ID
I20250819002299
Address ID
TN376011843Jo2717XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MCKAYLA MASON

  • 2717 E OAKLAND AVE

    JOHNSON CITY, TN 376011843

    Phone: (423) 926-2358

    Type: Mailing

  • 815 S WALNUT AVE

    COOKEVILLE, TN 385015956

    Phone: (931) 528-5516

    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: 2025-08-19

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
I20250819002299INurse PractitionerTNTBD

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 37601)

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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: 7315242302View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency Medicine, Family PracticeTN
Nurse PractitionerOH
Internal MedicineTN
Internal Medicine, Pediatric MedicineVA
Nurse PractitionerFL
Nurse PractitionerTN
-TN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is MCKAYLA MASON's NPI number?
MCKAYLA MASON's NPI is 1073403127 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MCKAYLA MASON?
For scheduling context, MCKAYLA MASON is shown as active in the registry.
What expertise is attributed to MCKAYLA MASON?
MCKAYLA MASON's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MCKAYLA MASON associated with Johnson City?
Public fields place MCKAYLA MASON around Johnson City, Tennessee. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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