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KELLIJEANNE MASON AGACNP
NPI 1891638771
Nurse Practitioner - Acute Care in Mansfield, TX

Active since April 14, 2026PECOS Enrolled
2800 E BROAD ST STE 204, MANSFIELD, TX 76063(682) 900-4174 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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.

NPPES Registry Identity

NPI1891638771
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLIJEANNE MASONCredential: AGACNP
Location Address2800 E BROAD ST STE 204Mansfield, TX 76063-6411
Mailing Address2800 E Broad St Ste 204Mansfield, TX 76063-6411 · (682) 900-4174
Phone(682) 900-4174
Sole ProprietorNo
Enumeration DateApril 14, 2026
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1891638771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1054000
2800 E BROAD ST STE 204, Mansfield, TX 76063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellijeanne Mason Agacnp 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.

Physician 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.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 6

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

KOLTEN D HERNANDEZ
Nurse Practitioner (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
DR. BABATUNDE O. KOMOLAFE MD
Internal Medicine (Interventional Cardiology)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (817) 752-5242
MR. KASHIF ASLAM MD
Internal Medicine (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
MRS. LACY LYNN TORRES MSN, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
MANDIP KAUR
Physician Assistant
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174
IRFANALI RAJABALI KUGASIA M.D.
Internal Medicine (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Tarrant County (682) 900-4174

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 enrollment system.

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 55 days 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.