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Deactivated NPI 1992830244 Deactivated / Inactive NPI Female Practitioner

Dr. Misty Ann Mason , PhD

Speech-Language Pathologist • Peoria, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Misty Mason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 23, 2007
NPI Deactivation Date August 09, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Misty Mason, PhD was a registered Speech-Language Pathologist practicing in Peoria, AZ. Throughout an active medical career spanning 16 years, Dr. Mason provided care at the practice location at 11806 N 87TH AVE until profile deactivation on 2023-08-09.

Historical Medicare Part B clinical services included treatment of speech, language, voice, communication, and/or hearing processing disorder. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11806 N 87th Ave

Peoria, AZ 853458125

Telephone 6029996358
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Peoria, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Peoria, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
186 13 $105.00 $67.98

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP4062

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Desirae Gonzales , RN

Registered Nurse - School

NPI 1346814399

Registered Nurse

Angela Figueroa , OT, L

Occupational Therapist

NPI 1548448889

Occupational Therapist, L

NPI 1588317168

REGISTEREDNURSE

Jessica Smith , BSN, RN

Registered Nurse

NPI 1700542453

Bachelor of Science in Nursing, Registered Nurse

Deborah Simboli

Registered Nurse

NPI 1861364978
NPI 1962672824

SCHOOLPSYCHOLOGY

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location September 12, 2023

Registered at 11806 N 87TH AVE, PEORIA, AZ 853458125 (Tel: 6029996358)

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Updated Business Mailing Address September 12, 2023

Registered at 16195 W COTTONWOOD ST, SURPRISE, AZ 853745740 (Tel: 6029996358)

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Provider Name / Credentials Updated September 12, 2023

Recorded as MISTY MASON, PH.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Speech-Language Pathologist (License #SLP4062 in AZ)

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NPI Profile Deactivated August 09, 2023

Record deactivated on August 09, 2023

NPI Profile Active August 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2009

Registered at 11806 N 87TH AVE, PEORIA, AZ 853458125 (Tel: 6029996358)

📍
Updated Business Mailing Address August 18, 2009

Registered at 16195 W COTTONWOOD ST, SURPRISE, AZ 853745740 (Tel: 6029996358)

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Provider Name / Credentials Updated August 18, 2009

Recorded as MISTY MASON, PH.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2009

Speech-Language Pathologist (License #SLP4062 in AZ)

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Initial NPI Registration & Enumeration February 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992830244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2007
Last Update: September 12, 2023
Deactivation Date: August 09, 2023
Sole Proprietor: No

Mailing Address

16195 W Cottonwood St

Surprise, AZ 853745740

Phone: 6029996358

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.