NPIMap

Individual provider Active NPI

Jason Michael Rust, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1285156703
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011416 Issued in KY
Practice address
2605 Kentucky Ave Ste 402
Paducah, KY 42003-3803
Phone
(270) 443-6472
Fax
(270) 421-6494
NPI assigned
Jul 17, 2017
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011416 KY Primary

Addresses

Primary practice location

2605 Kentucky Ave Ste 402
Paducah, KY 42003-3803

Mailing address

2605 Kentucky Ave Ste 402
Paducah, KY 42003-3803
Phone (270) 443-6472

Other names 1

  • Mr. Jason Michael Rust Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816002078 KY Practitioner - Nurse Practitioner 9436421005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc CurrentSince Oct 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 3, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 3, 2017 Accepting new patients

Locations

4754 US Highway 62
Calvert City, KY 42029
Phone (270) 415-7745

96 Future Dr
Corbin, KY 40701

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

Interoperability endpoints

  • Direct secure messaging: jrust47554@bhkydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1285156703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033803",
            "telephone_number": "270-443-6472",
            "fax_number": "270-421-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033803",
            "telephone_number": "270-443-6472",
            "fax_number": "270-421-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "RUST",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.