Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Mason, PA-C

Individual provider Physician Assistant · NPI 1528173028

Dr. Nicole Mason, PA-C is a Physician Assistant in Owasso, Oklahoma. Qualified in 2005, 21 years ago. Practices with Pine Ridge Mental Healthcare, LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Oklahoma.

Years since qualifying
21
Licensed in
IL, OK
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8422 N 123rd East Ave
Owasso, OK 74055-2130
Phone: (918) 858-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2942 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 2942 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 085002618 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2942 (OK)

Record details

NPI number1528173028
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Pine Ridge Mental Healthcare, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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