Individual provider Active NPI

Jon Michael Rapacz, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1225614852
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4549 Issued in TN
Practice address
1406 McGavock Pike Ste B
Nashville, TN 37216-3233
Phone
(615) 810-9595
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 4549 TN Primary

Addresses

Primary practice location

1406 McGavock Pike Ste B
Nashville, TN 37216-3233

Mailing address

1406 McGavock Pike Ste B
Nashville, TN 37216-3233
Phone (360) 314-8984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230103000271 TN Practitioner - Physician Assistant 8426428715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4549TNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jon.rapacz@rvc-tn.direct.office.nextgen.com
  • Direct secure messaging: jon.rapacz.1@27394.direct.athenahealth.com
  • Direct secure messaging: jon.rapacz.1@17956.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1225614852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MCGAVOCK PIKE STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163233",
            "telephone_number": "360-314-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MCGAVOCK PIKE STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163233",
            "telephone_number": "615-810-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPACZ",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.