Individual provider Active NPI

Jason Michael Harp, PA-C

  • Medical Physician Assistant
  • Wyoming, MI
National Provider Identifier
1659735272
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007731 Issued in MI
Practice address
304 44TH St SW
Wyoming, MI 49548-4108
Phone
(616) 893-3060
NPI assigned
Apr 9, 2016
Last updated
Apr 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601007731 MI Primary

Addresses

Primary practice location

304 44TH St SW
Wyoming, MI 49548-4108

Mailing address

304 44TH St SW
Wyoming, MI 49548-4108
Phone (616) 893-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160512001037 MI Practitioner - Physician Assistant 1557650637 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925

1261 N Telegraph Rd
Monroe, MI 48162-3368
Phone (734) 265-9123

1325 N W Ave
Jackson, MI 49202-2050
Phone (517) 395-2246

1803 M
Suite 139
Benton Harbor, MI 49022-6103
Phone (269) 487-3021

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

9065 E 34 Rd
Cadillac, MI 49601-8851
Phone (231) 577-5017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital CurrentSince Sep 21, 2019 Accepting new patients
Sparrow Eaton Hospital CurrentSince Sep 21, 2019 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1803 M 139
Benton Harbor, MI 49022
Phone (269) 487-3021

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1659735272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495484108",
            "telephone_number": "616-893-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495484108",
            "telephone_number": "616-893-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARP",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.