Individual provider Active NPI

James E Ravencraft II, P.A.C.

  • Physician Assistant
  • Ashland, KY
National Provider Identifier
1083643274
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA336 Issued in KY
Practice address
2222 Winchester Ave
Ashland, KY 41101-7847
Phone
(606) 325-9644
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA336 KY Primary

Addresses

Primary practice location

2222 Winchester Ave
Ashland, KY 41101-7847

Mailing address

2222 Winchester Ave
Ashland, KY 41101-7847
Phone (606) 325-9644

Other identifiers 4

IdentifierTypeStateIssuer
95003364MedicaidKY
P00847796OtherKYRAIL ROAD MEDICARE
P00847796OtherKYRAILROAD MEDICARE
970009625OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000583 KY Practitioner - Physician Assistant 6800952003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

2340 Carter Ave
Ashland, KY 41101-7826
Phone (606) 325-9644

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

398 Diederich Blvd
Ashland, KY 41101-7008
Phone (606) 324-8060

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA336KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation CurrentSince May 26, 2020 Accepting new patients
Ashland Hospital Corporation CurrentSince May 26, 2020 Accepting new patients
Dr. Melissa Davis, P.S.C. Past Accepting new patients
Ashland Family Medicine Past Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

2222 Winchester Ave
Ashland, KY 41101
Phone (606) 325-8261

2340 Carter Ave
Ashland, KY 41101
Phone (606) 324-7083

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669

Interoperability endpoints

  • Direct secure messaging: jravencraft73258@direct.kdhealth.us

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1083643274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017847",
            "telephone_number": "606-325-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017847",
            "telephone_number": "606-325-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENCRAFT",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_suffix": "II",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95003364",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00847796",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00847796",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970009625",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.