Jason Wesley Mullins, PA-C
Individual provider Active NPI Medical Physician Assistant · Catlettsburg, KY
NPI 1699146100 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1699146100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA2046 (KY)
- Practice address
- 4004 Louisa Road
Catlettsburg, KY 41129-1091 - Phone
- (606) 739-6095
- Fax
- (606) 739-8252
- NPI assigned
- Oct 9, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
3084 Lakecrest Cir
Suite 150
Lexington, KY 40513-1706
Phone (859) 260-6050
4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390
Hospital & facility affiliations
- Baptist Health Lexington
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151111000909 | KY | Practitioner - Physician Assistant | 1355651936 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current |
Accepting new patients | |
| Ashland Hospital Corporation | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Ashland Hospital Corporation | Current | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
399 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-8060
12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963
10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301
4004 Louisa Rd
Catlettsburg, KY 41129
Phone (606) 739-6095
96 Future Dr
Corbin, KY 40701
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2046 | KY | Yes |
Addresses
Primary practice location
4004 Louisa Road
Catlettsburg, KY 41129-1091
Mailing address
P. O. Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200
Other practice location 1
399 Diederich Blvd
Ashland, KY 41101-7007
Phone (606) 324-8060
Other practice location 2
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Other providers in Catlettsburg, KY
- Linda J Justice
- Melissa Lynn Kelley
- King Interventional Therapy, LLC
- Deb Knudson
- Curtis Anthony Marcum
- Rachel Muncy
- Anna G Patton
- Heather Mae Perkins
- Theresa Denise Porter
- Tina Potter
All providers in Catlettsburg, KY · Medical Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.