Active NPI
Jared J Patton, PA-C
- Physician Assistant
- Union, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1669
- Practice address
- 605 Man O War Boulevard
Union, KY 41091-2007 - Phone
- (859) 578-5669
- Fax
- (859) 384-0091
- NPI assigned
- Aug 16, 2011
- Last updated
- Oct 28, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003135A | IN | |
| Physician Assistant | 363A00000X | PA1669 | KY | Primary |
Addresses
Primary practice location
605 Man O War Boulevard
Union, KY 41091-2007
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 905-3070
Other practice location 1
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3617
Other practice location 2
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 905-3070
Other practice location 3
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100230030 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- 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
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (855) 277-4230
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone (859) 301-5901
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
334 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-3496
Phone (859) 344-3737
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.13 of 100
- Quality
- 89.38
- Improvement activities
- 40
- Cost
- 79.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003135A | IN | MD | Physician Assistant |
| PA1669 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Summit Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
605 Man O War Blvd
Union, KY 41091
Phone (859) 578-5333
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
IN, Physician Assistant
-
dba Compass Emergency Physicians
- Emergency Medicine Physician
- Edgewood, KY
- NPI 1841696739
IN
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
dba St. Elizabeth Physicians
- Rural Health Clinic/Center
- Rising Sun, IN
- NPI 1265275333
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1194004515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-905-3070",
"fax_number": "859-441-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 MAN O WAR BOULEVARD",
"city": "UNION",
"state": "KY",
"postal_code": "410912007",
"telephone_number": "859-578-5669",
"fax_number": "859-384-0091"
}
],
"practiceLocations": [
{
"address_1": "85 N Grand Ave",
"address_purpose": "LOCATION",
"city": "Fort Thomas",
"state": "KY",
"postal_code": "410751793",
"country_code": "US",
"telephone_number": "859-572-3617",
"fax_number": "859-572-2366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Grand Ave",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "KY",
"postal_code": "410712570",
"country_code": "US",
"telephone_number": "859-905-3070",
"fax_number": "859-441-1348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1640 Flossie Dr",
"address_purpose": "LOCATION",
"city": "Greendale",
"state": "IN",
"postal_code": "470258424",
"country_code": "US",
"telephone_number": "812-496-3285",
"fax_number": "812-537-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTON",
"first_name": "JARED",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-16",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003135A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100230030",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.