Active NPI
Jason K Freeburne, ARNP
- Acute Care Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3004629
- Practice address
- 101 Cabarrus Ave E
Concord, NC 28025-3699 - Phone
- (888) 849-7379
- Fax
- (855) 857-7333
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3004629 | KY | Primary |
Addresses
Primary practice location
101 Cabarrus Ave E
Concord, NC 28025-3699
Mailing address
101 Cabarrus Ave E
Concord, NC 28025-3699
Phone (888) 849-7379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11661990 | Other | CAQH | |
| 78018256 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247
3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081
4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247
828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004629 | KY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Eventus Wholehealth Midwest Inc | Current | Accepting new patients | |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients | |
| Eventus Ecs, Inc | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Past | Accepting new patients | |
| Pam Combs MD Consulting Services, P.S.C. | Past | Accepting new patients |
Locations
922 State St
Fl 4
Bowling Green, KY 42101
306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900
3958 Brown Park Dr
Ste D
Hilliard, OH 43026
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1396563276
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1669873733
-
- Cardiovascular Disease Physician
- Paris, KY
- NPI 1730315789
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manchester, KY
- NPI 1811922347
-
- Home Health Agency
- Lexington, KY
- NPI 1083863286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1003986167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEBURNE",
"first_name": "JASON",
"middle_name": "K",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3004629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11661990",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78018256",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.