MRS. MARCELLA ANTOINETTE MASTERSON FNP-BC
NPI 1811591852
Nurse Practitioner - Family in Pueblo, CO
About Mrs. Marcella Antoinette Masterson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARCELLA ANTOINETTE MASTERSON FNP-BC (NPI 1811591852) is an individual family provider in Pueblo, Colorado, licensed in Colorado (APN.0996394-NP) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Marcella Antoinette Masterson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marcella Masterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 137 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PUEBLO, CO 81008
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 Marcella Masterson's NPI number?
The NPI number for Marcella Masterson is 1811591852. It was assigned to this individual provider in the NPPES registry on November 30, 2020. The provider is also known as Marcella Navarro Fnp-Bc.
Where is Marcella Masterson located?
Marcella Masterson practices at 1310 Fortino Blvd Ste D, Pueblo, CO 81008. The listed phone number is (719) 582-1898.
What is Marcella Masterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marcella Masterson enrolled in Medicare?
Yes. Marcella Masterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marcella Masterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcella Masterson reassigns Medicare benefits to Pueblo Community Health Center Inc (Pueblo, CO). 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 Marcella Masterson'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 Marcella Masterson was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Marcella Antoinette Masterson, FNP-BC · NPI 1811591852
Family physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since November 30, 2020.
## Identity
- **NPI:** 1811591852 (Entity type: Individual)
- **Enumerated:** November 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0996394-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1310 FORTINO BLVD STE D, Pueblo, CO 81008-2076
- **Phone:** (719) 582-1898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pueblo Community Health Center Inc (NPI 1316466816, Pueblo, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811591852) · Data from the CMS NPPES public registry.