MASON PHAM
NPI 1144905886
Nurse Anesthetist, Certified Registered in Harrogate, TN

Q: What is Mason Pham's NPI number?

The NPI number for Mason Pham is 1144905886. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Mason Pham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Mason Pham was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2023Accepts Medicare Assignment

6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752(423) 869-3611 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Jun 20, 2023 (2 updates tracked since 2023).

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About Mason Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON PHAM (NPI 1144905886) is an individual nurse anesthetist, certified registered in Harrogate, Tennessee, licensed in Kentucky (4050471) and active in the NPI registry since June 2023. He is affiliated with Saint Joseph Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144905886

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMASON PHAM

Location Address6965 CUMBERLAND GAP PKWYHarrogate, TN 37752-8231

Mailing Address2017 Vail DrGarland, TX 75044-6790 · (468) 888-3048

Phone(423) 869-3611

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 20, 2023

Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1144905886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in KY · 4050471

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

6965 CUMBERLAND GAP PKWY, Harrogate, TN 37752

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mason Pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193204519

PECOS Enrollment IDI20260205004383

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL RAYMOND WOOD

Registered Nurse