Look up the most recent NPI and PECOS records

Terri Lynne Mason

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as TERRI JONES.

Based on the most recent information from CMS, provider Terri Lynne Mason is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1497253959
Provider Type
Individual
Full Name
Mason, Terri Lynne
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/30/2018
Last Updated
9/1/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9270073 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R230750 Maryland

Terri Lynne Mason

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Hartley, Michel

Burgbacher, Amber Deann

Daynega, Anatoliy

Manning, Stacey A

Avens, Nicole

Garland, Rachael Jacqueline

Applewhite, Sarah

Reynolds, Gina

Koenig, Dayna Margaret Demarco

Cushenbery, Kristin