Individual provider Active NPI

Jason Mayfield Wright, MPAS, PA-C

  • Medical Physician Assistant
  • Dalhart, TX
National Provider Identifier
1184631947
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA05132 Issued in TX
Practice address
1411 Denver Ave
Dalhart, TX 79022-4809
Phone
(806) 244-9251
NPI assigned
Aug 2, 2006
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA05132 TX Primary

Addresses

Primary practice location

1411 Denver Ave
Dalhart, TX 79022-4809

Mailing address

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 244-9251

Other identifiers 5

IdentifierTypeStateIssuer
186026402MedicaidTX
8Y3421OtherTXBCBS
186026401MedicaidTX
8Y1573OtherTXBCBS
8Y1716OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070614000424 TX Practitioner - Physician Assistant 7911950647 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05132TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Castro County Hospital District Current Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Aug 1, 2019 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Aug 1, 2019 Accepting new patients
Pioneer Emergency Medicine Associates PA Medical Past Accepting new patients
Third Coast Emergency Physicians Sid Peterson PA Past Accepting new patients

Locations

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

206 E 16th St
Dalhart, TX 79022
Phone (806) 244-5668

310 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2191

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1184631947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 DENVER AVE",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224809",
            "telephone_number": "806-244-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 DENVER AVE",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224809",
            "telephone_number": "806-244-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JASON",
        "middle_name": "MAYFIELD",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186026402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y3421",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186026401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y1573",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y1716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalhart, TX

Sources for this page

Verify at the official NPI Registry.