TIM MASON FAMILY MEDICINE
NPI 1154047389
Clinic/Center - Primary Care in Kearney, NE

Active since October 19, 2022CLIA 28D2272583 · Waiver
5205 2ND AVE, KEARNEY, NE 68847(308) 440-2983 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2022, Oct 19, 2022 (2 updates tracked since 2022).

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

NPI1154047389
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTJ FOUR FAMILY
Location Address5205 2ND AVEKearney, NE 68847-2471
Mailing Address245 Sunny LnGibbon, NE 68840-6282 · (308) 440-2983
Organization SubpartNo
Authorized OfficialTimothy S MasonOwner · (308) 440-2983
Enumeration DateOctober 19, 2022
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1154047389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5205 2ND AVE, Kearney, NE 68847

Other Names 2

Doing Business AsTim Mason Family Medicine
Other NameTj Four Family Llc

Accepted Insurance

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, NE
Active · expires Nov 22, 2026
CLIA Number28D2272583
Laboratory TypePractitioner Other
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorTimothy S. Mason
Laboratory Phone(308) 440-2983
Laboratory LocationTim Mason Family Medicine And Wound Care5205 2nd Ave Ste 3, Kearney, NE 68847
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
5205 2ND AVE
KEARNEY, NE 68847
Anesthesiology
5205 2ND AVE
KEARNEY, NE 68847
Anesthesiology
5205 2ND AVE
KEARNEY, NE 68847
Counselor (Mental Health)
5205 2ND AVE
KEARNEY, NE 68847

Frequently 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.

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 Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer 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.