KELLY SUSANNE MASK N.P.
NPI 1992836423
Nurse Practitioner - Family in Pascagoula, MS
About Kelly Susanne Mask N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SUSANNE MASK N.P. (NPI 1992836423) is an individual family provider in Pascagoula, Mississippi, licensed in Mississippi (R860508) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kelly Susanne Mask N.p. 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 Reassignments
2Medicare enrollment records show Kelly Mask reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pascagoula, MS 39581
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSSinging River Health System
Acute Care Hospitals · Pascagoula, MSSinging River Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39581 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mask's NPI number?
The NPI number for Kelly Mask is 1992836423. It was assigned to this individual provider in the NPPES registry on March 8, 2007. The provider is also known as Kelly Susanne Stevison N.P..
Where is Kelly Mask located?
Kelly Mask practices at 3101 Denny Ave Ste 230, Pascagoula, MS 39581. The listed phone number is (228) 460-4180.
What is Kelly Mask's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Mask enrolled in Medicare?
Yes. Kelly Mask 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 organizations bill Medicare for Kelly Mask's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mask reassigns Medicare benefits to 2 organizations: Singing River Health System (Pascagoula, MS) and Fast Pace Mississippi, PLLC (Ripley, MS). Each 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 Mask's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mask accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kelly Mask 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.
Is Kelly Mask affiliated with any hospitals?
According to CMS data, Kelly Mask is affiliated with Memorial Hospital At Gulfport, Singing River Health System and Singing River Gulfport.
When was this NPI record last updated?
The NPPES record for Kelly Mask was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelly Susanne Mask, N.P. · NPI 1992836423
Family physician in Pascagoula, Mississippi. Individual provider, active in the CMS NPPES registry since March 8, 2007.
## Identity
- **NPI:** 1992836423 (Entity type: Individual)
- **Enumerated:** March 8, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R860508 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3101 DENNY AVE STE 230, Pascagoula, MS 39581-5307
- **Phone:** (228) 460-4180 · **Fax:** (228) 400-1140
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Singing River Health System (NPI 1124136593, Pascagoula, MS); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1992836423) · Data from the CMS NPPES public registry.