Mason Alden Standifird, FNP
NPI 1396551453ActiveIndividual· Nurse Practitioner, Family· Payson, AZ
Nurse Practitioner, Family (FNP) with Ponderosa Family Care LLC, practicing in Payson, Arizona. Enrolled in Medicare as practitioner - nurse practitioner. Exact Sciences Corporation reported $16.66 in payments in 2025, mostly food and beverage. Lists Banner Payson Medical Center as a hospital affiliation.
Overview
| NPI | 1396551453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Dec 4, 2024 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Sep 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 241718 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ponderosa Family Care LLCPayson, AZ · 12 clinicians
Hospital affiliation
- Banner Payson Medical CenterPayson, AZ
Other facilities
- Banner Home Care - PaysonHome health agency · Payson, AZ
Industry payments (Open Payments)
- 2025$16.66 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $16.66 | 1 |
What the 2025 payments were for
- Food and Beverage$16.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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