KELLIJEANNE MASON AGACNP
NPI 1891638771
Nurse Practitioner - Acute Care in Mansfield, TX
About Kellijeanne Mason Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIJEANNE MASON AGACNP (NPI 1891638771) is an individual acute care provider in Mansfield, Texas, licensed in Texas (1054000) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, is affiliated with Texas Health Huguley Hospital Fort Worth South, and is a graduate of Other (2026).
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 and accepts Medicare assignment
Kellijeanne Mason Agacnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kellijeanne Mason reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 33 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Huguley Hospital Fort Worth South
Acute Care Hospitals · Burleson, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76063 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANSFIELD, TX 76063
MANSFIELD, TX 76063
MANSFIELD, TX 76063
MANSFIELD, TX 76063
MANSFIELD, TX 76063
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 Kellijeanne Mason's NPI number?
The NPI number for Kellijeanne Mason is 1891638771. It was assigned to this individual provider in the NPPES registry on April 14, 2026.
Where is Kellijeanne Mason located?
Kellijeanne Mason practices at 2800 E Broad St Ste 204, Mansfield, TX 76063. The listed phone number is (682) 900-4174.
What is Kellijeanne Mason's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kellijeanne Mason enrolled in Medicare?
Yes. Kellijeanne Mason 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 Kellijeanne Mason's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellijeanne Mason reassigns Medicare benefits to Pulmonary Critical Care Professionals (Mansfield, TX). 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 Kellijeanne Mason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kellijeanne Mason affiliated with any hospitals?
According to CMS data, Kellijeanne Mason is affiliated with Texas Health Huguley Hospital Fort Worth South.
When was this NPI record last updated?
The NPPES record for Kellijeanne Mason was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kellijeanne Mason, AGACNP · NPI 1891638771
Acute Care physician in Mansfield, Texas. Individual provider, active in the CMS NPPES registry since April 14, 2026.
## Identity
- **NPI:** 1891638771 (Entity type: Individual)
- **Enumerated:** April 14, 2026
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1054000 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2800 E BROAD ST STE 204, Mansfield, TX 76063-6411
- **Phone:** (682) 900-4174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pulmonary Critical Care Professionals (NPI 1922714179, Mansfield, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891638771) · Data from the CMS NPPES public registry.