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MRS. DAWN MARIE COULTHURST MASON PMHNP
NPI 1740408780
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

Active since April 23, 2007PECOS Enrolled
1615 POLO RD, WINSTON SALEM, NC 27106(336) 722-7266(336) 201-0538 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Oct 28, 2020, Aug 5, 2019 and 4 more (7 updates tracked since 2019).

About Mrs. Dawn Marie Coulthurst Mason Pmhnp NPPES

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

MRS. DAWN MARIE COULTHURST MASON PMHNP (NPI 1740408780) is an individual psychiatric/mental health provider in Winston Salem, North Carolina, licensed in North Carolina (5002208) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740408780
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DAWN MARIE COULTHURST MASONCredential: PMHNP
Location Address1615 POLO RDWinston Salem, NC 27106-3831
Mailing Address1615 Polo RdWinston Salem, NC 27106-3831 · (336) 722-7226 · Fax (366) 201-0538
Phone(336) 722-7266
Fax(336) 201-0538
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateApril 7, 20267 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1740408780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5002208
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5002208 (NC)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 5002208 (NC)
1615 POLO RD, Winston Salem, NC 27106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1104 Cambridge Plaza DrWinston Salem, NC 27104-3556 · Phone (336) 722-7266 · Fax (336) 201-0538
Location 21901 Adams Farm PkwyGreensboro, NC 27407-6338 · Phone (336) 722-7266 · Fax (336) 201-0538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dawn Marie Coulthurst Mason Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dawn Coulthurst Mason reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mood Treatment Center, PLLC
Same address
Psychiatry
1615 POLO RD
Winston Salem, NC 27106
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1285867952 (336) 722-7266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27106 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VIRGINIA LEIGH LOVE
Social Worker (Clinical)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MS. SOPHIA HEATON MSW, LCSW
Social Worker (Clinical)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MIKAELA REESE CALDWELL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
ANNA LEISA SAUSER LPCA
Counselor (Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MS. VALERIE VESTAL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
MR. JAMES AL GREENE CCS, LCAS
Counselor (Addiction (Substance Use Disorder))
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
ADAM CARLTON MCDONOUGH M.D.
Psychiatry & Neurology (Psychiatry)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 722-7266
JANET G NESTOR MA, LPC
Counselor (Mental Health)
1615 POLO RD
WINSTON SALEM, NC 27106
Forsyth County (336) 794-2343

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 Dawn Coulthurst Mason's NPI number?

The NPI number for Dawn Coulthurst Mason is 1740408780. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Dawn Coulthurst Mason located?

Dawn Coulthurst Mason practices at 1615 Polo Rd, Winston Salem, NC 27106. The listed phone number is (336) 722-7266.

What is Dawn Coulthurst Mason's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dawn Coulthurst Mason enrolled in Medicare?

Yes. Dawn Coulthurst Mason is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dawn Coulthurst Mason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Coulthurst Mason reassigns Medicare benefits to Mood Treatment Center, PLLC (Winston Salem, NC). 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 Dawn Coulthurst Mason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Coulthurst Mason accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Dawn Coulthurst Mason 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 Dawn Coulthurst Mason was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.