Springfield Masonic Community – Skilled Nursing Facility, NPI 1962510305

Springfield Masonic Community is a healthcare provider. based in Springfield, Ohio. specializing in Skilled Nursing Facility. The organization holds a License No. 5208 (OH). The NPI Number for Springfield Masonic Community is 1962510305

Main info

Organization
Name
Springfield Masonic Community
NPI
1962510305
Phone
(937) 325-1531
Address
3 MASONIC DR
Authorized Official
SCOTT BUCHANAN CHIEF FINANCIAL OFFICER
Enumeration Date
27 August 2006
Last Update Date
23 June 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Springfield Masonic Community

  • 3, Masonic Drive, Springfield Masonic Community, Springfield, Clark County, Ohio, 45504, United States

    SPRINGFIELD, OH 455043658

    Phone: (937) 325-1531

    Fax: (937) 525-8291

    Mailing address matches the actual address.

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: 2005-05-24

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
O20050524001410OSkilled Nursing FacilityOHTBD

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 45504)

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Reviews

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Frequently asked questions

Where can patients find Springfield Masonic Community's NPI?
You can confirm Springfield Masonic Community with NPI 1962510305; it appears in the national provider directory.
Is Springfield Masonic Community's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Springfield Masonic Community work in?
You can think of Springfield Masonic Community as practicing within Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where does public data place Springfield Masonic Community?
The snapshot lists Springfield, Ohio for Springfield Masonic Community; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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