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Deactivated NPI 1558851584 Deactivated / Inactive NPI Female Practitioner

Samantha Hake Mason

Registered Nurse • Springboro, OH

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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, Samantha Mason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2018
NPI Deactivation Date April 29, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

Samantha Mason was a registered Registered Nurse practicing in Springboro, OH. Throughout an active medical career spanning 2 years, Samantha Mason provided care at the practice location at 540 W CENTRAL AVE until profile deactivation on 2020-04-29.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

540 W Central Ave

Springboro, OH 450661110

Telephone 9375504511

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Springboro, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Springboro, OH (9958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.6% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 34 $128.06 $88.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $180.00 $135.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $130.07 $88.61

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH 365591

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Lacey Mckenzie , CNP

Family Medicine

NPI 1124676762

Certified Nurse Practitioner

Renita Peyton , FNP

Nurse Practitioner - Family

NPI 1790347706

Family Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated April 29, 2020

Record deactivated on April 29, 2020

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Updated Practice Location December 02, 2019

Registered at 5151 PFEIFFER RD STE 350, BLUE ASH, OH 452424854 (Tel: 8333582036)

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Updated Practice Location October 25, 2019

Registered at 50 E RIVERCENTER BLVD STE 434, COVINGTON, KY 410111660 (Tel: 8333582278)

NPI Profile Active May 15, 2018

NPI status registered as active in NPPES database

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Updated Practice Location May 15, 2018

Registered at 540 W CENTRAL AVE, SPRINGBORO, OH 450661110 (Tel: 9375504511)

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Updated Business Mailing Address May 15, 2018

Registered at 749 MARY LANE EXT, SOUTH LEBANON, OH 450651270 (Tel: 5132335082)

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Provider Name / Credentials Updated May 15, 2018

Recorded as SAMANTHA MASON

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2018

Registered Nurse (License #365591 in OH)

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Initial NPI Registration & Enumeration May 15, 2018

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: 1558851584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2018
Last Update: May 15, 2018
Deactivation Date: April 29, 2020

Mailing Address

749 Mary Lane Ext

South Lebanon, OH 450651270

Phone: 5132335082

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.