Individual provider Active NPI

Jason J Hanby, PA

  • Physician Assistant
  • Redmond, OR
National Provider Identifier
1659623494
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106902 Issued in FL
Practice address
1228 NW Canal Blvd
Redmond, OR 97756-1335
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Oct 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 PA9106902 FL Primary

Addresses

Primary practice location

1228 NW Canal Blvd
Redmond, OR 97756-1335

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (509) 222-1275

Other identifiers 1

IdentifierTypeStateIssuer
PA9106902OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NM, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220519002345 OR Practitioner - Physician Assistant 0446401301 Reassigns benefits to 4 organizations
I20240321003923 NM Practitioner - Physician Assistant 0446401301 Reassigns benefits to 2 organizations
I20241121002536 ND Practitioner - Physician Assistant 0446401301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Sports and Spine LLCGroup PAC ID 3971941154, 7 clinicians

Practice addresses (Care Compare)

1140 SW Simpson Ave
Suite 100
Bend, OR 97702-3789
Phone (541) 388-2333

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC CurrentSince Jan 9, 2023 Accepting new patients
MD Now Medical Centers Inc Past Accepting new patients
Ideal Option, PLLC PastSince Sep 3, 2025 Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 48)

1221 W Divide Ave
Ste 202
Bismarck, ND 58501

3345 39th St S
Ste 2
Fargo, ND 58104

3301 30th Ave S
Ste 102
Grand Forks, ND 58201
Phone (701) 340-0818

1625 S Broadway
Ste 160
Minot, ND 58701

105 26th St E
Williston, ND 58801

8400 Osuna Rd NE
Ste 2D
Albuquerque, NM 87111
Phone (505) 293-7101

5400 Gibson Blvd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 832-7141

801 Encino Pl NE
Ste E6
Albuquerque, NM 87102
Phone (505) 299-4414

2014 San Juan Blvd
Ste A
Farmington, NM 87401

532 N Telshor Blvd
Ste G
Las Cruces, NM 88011
Phone (505) 373-8415

3301 Southern Blvd SE
Ste 105
Rio Rancho, NM 87124
Phone (505) 270-0840

231 Lyon St SE
Albany, OR 97321
Phone (541) 791-3411

404 NE Penn Ave
Bend, OR 97701
Phone (541) 318-7041

1318 NW 9th St
Ste B
Corvallis, OR 97330

401 E 10th Ave
Ste 330
Eugene, OR 97401
Phone (541) 344-6929

545 SE Oak St
Ste D
Hillsboro, OR 97123
Phone (503) 640-1614

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

1228 NW Canal Blvd
Redmond, OR 97756
Phone (541) 923-3970

863 Liberty St NE
Salem, OR 97301
Phone (503) 399-5597

3831 Main St
Ste 108
Springfield, OR 97478
Phone (541) 746-4468

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 122
Bellingham, WA 98229

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

Interoperability endpoints

  • Direct secure messaging: jason.hanby.p1@direct.arthcenterpalmbeach.nextgenshare.com
  • Direct secure messaging: jason.hanby.1@30625.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1659623494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561335",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBY",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9106902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.