TIM MASON FAMILY MEDICINE
NPI 1154047389
Clinic/Center - Primary Care in Kearney, NE
About Tim Mason Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM MASON FAMILY MEDICINE (NPI 1154047389) is a healthcare organization registered as a primary care in Kearney, Nebraska and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Timothy S Mason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tim Mason Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tim Mason Family Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 28D2272583
Tim Mason Family Medicine And Wound Care · Kearney, NEFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tj Four Family's NPI number?
The NPI number for Tj Four Family is 1154047389. It was assigned to this organization in the NPPES registry on October 19, 2022. The provider is doing business as Tim Mason Family Medicine. The provider is also known as TJ Four Family LLC.
Where is Tj Four Family located?
Tj Four Family is located at 5205 2nd Ave, Kearney, NE 68847. The listed phone number is (308) 440-2983.
What is Tj Four Family's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tj Four Family enrolled in Medicare?
Yes. Tj Four Family is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tj Four Family?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tj Four Family. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tj Four Family hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D2272583) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tj Four Family accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Tj Four Family as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tj Four Family was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Tim Mason Family Medicine · NPI 1154047389
Primary Care organization in Kearney, Nebraska. Organization record, active in the CMS NPPES registry since October 19, 2022.
## Identity
- **NPI:** 1154047389 (Entity type: Organization)
- **Enumerated:** October 19, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Tj Four Family
- **Also known as:** TJ Four Family LLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Timothy Mason, OWNER
## Practice location
- **Address:** 5205 2ND AVE, Kearney, NE 68847-2471
- **Phone:** (308) 440-2983
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154047389) · Data from the CMS NPPES public registry.