MIA ROSE MASSARO
NPI 1518525906
Occupational Therapist - Pediatrics in White Bear Lake, MN
About Mia Rose Massaro NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIA ROSE MASSARO (NPI 1518525906) is an individual pediatrics provider in White Bear Lake, Minnesota, licensed in Minnesota (6028) and active in the NPI registry since May 2019.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mia Rose Massaro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mia Massaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lino Lakes, MN 55014
- Reassigned Medicare billing, Minnesota enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE BEAR LAKE, MN 55110
WHITE BEAR LAKE, MN 55110
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 Mia Massaro's NPI number?
The NPI number for Mia Massaro is 1518525906. It was assigned to this individual provider in the NPPES registry on May 31, 2019.
Where is Mia Massaro located?
Mia Massaro practices at 2555 County Road E E, White Bear Lake, MN 55110. The listed phone number is (651) 683-2953.
What is Mia Massaro's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Mia Massaro enrolled in Medicare?
Yes. Mia Massaro is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mia Massaro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Massaro reassigns Medicare benefits to Advance Occupational Therapy, LLC (Lino Lakes, MN). The 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 Mia Massaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mia Massaro was last updated on September 26, 2023. 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.