MRS. KELLY JO MASTEN APRN-RNP
NPI 1871292789
Nurse Practitioner - Family in Safford, AZ

Active since February 28, 2023PECOS EnrolledAccepts Medicare Assignment
2175 W 16TH ST UNIT D, SAFFORD, AZ 85546(928) 651-6372 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2024, Feb 28, 2023 (2 updates tracked since 2023).

About Mrs. Kelly Jo Masten Aprn-rnp NPPES

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

MRS. KELLY JO MASTEN APRN-RNP (NPI 1871292789) is an individual family provider in Safford, Arizona, licensed in Arizona (304698) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871292789
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY JO MASTENCredential: APRN-RNP
Location Address2175 W 16TH ST UNIT DSafford, AZ 85546-0842
Mailing AddressPo Box 367Central, AZ 85531-0367 · (928) 651-6372
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 28, 2023
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1871292789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 304698
Also ListedRegistered Nurse · Obstetric, InpatientTaxonomy 163WX0003X · License RN212349 (AZ)
2175 W 16TH ST UNIT D, Safford, AZ 85546

Other Identifiers 2

Medicaid304698AZ
MedicaidRN212349AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Jo Masten Aprn-rnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779022983
PECOS Enrollment IDI20260827003069
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 Kelly Jo Masten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
1600 S 20TH AVE
Safford, AZ 85546
  • Reassigned Medicare billing, Arizona enrollment
  • 149 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 85546 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

Family Medicine
2175 W 16TH ST UNIT D
SAFFORD, AZ 85546
Nurse Practitioner (Psychiatric/Mental Health)
2175 W 16TH ST UNIT D
SAFFORD, AZ 85546
Nurse Practitioner (Psychiatric/Mental Health)
2175 W 16TH ST UNIT D
SAFFORD, AZ 85546

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 Kelly Jo Masten's NPI number?

The NPI number for Kelly Jo Masten is 1871292789. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Kelly Jo Masten located?

Kelly Jo Masten practices at 2175 W 16th St Unit D, Safford, AZ 85546. The listed phone number is (928) 651-6372.

What is Kelly Jo Masten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Jo Masten enrolled in Medicare?

Yes. Kelly Jo Masten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Jo Masten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Jo Masten reassigns Medicare benefits to Mt Graham Regional Medical Center Inc (Safford, AZ). 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 Kelly Jo Masten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Jo Masten accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Kelly Jo Masten 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 Kelly Jo Masten was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.