Individual provider Active NPI

Jason J Lawn, PA

  • Physician Assistant
  • Bozeman, MT
National Provider Identifier
1316908825
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3266 Issued in AZ
Practice address
1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone
(406) 522-1146
Fax
(406) 587-5548
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 3266 AZ Primary

Addresses

Primary practice location

1450 Ellis St Ste 201
Bozeman, MT 59715-8813

Mailing address

1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone (406) 522-1146

Other identifiers 1

IdentifierTypeStateIssuer
005074MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20081024000656 MT Practitioner - Physician Assistant 8426079047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

101 E Frank Rd
Belgrade, MT 59714-9884
Phone (406) 388-7229

1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122

3400 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 587-0122

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3266AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Hospital Development Corporation CurrentSince Nov 1, 2024 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Nov 1, 2024 Accepting new patients
Barrett Hospital Development Corporation Past Accepting new patients
Sun Valley Urology, PC Past Accepting new patients

Locations

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

Interoperability endpoints

  • Direct secure messaging: jason.lawn.1@12906.direct.athenahealth.com

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 1

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1316908825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158813",
            "telephone_number": "406-522-1146",
            "fax_number": "406-587-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158813",
            "telephone_number": "406-522-1146",
            "fax_number": "406-587-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWN",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005074",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.