Individual provider Active NPI

Jason M Mazza, PA

  • Medical Physician Assistant
  • Morgantown, WV
National Provider Identifier
1720036213
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
WV00975 Issued in WV
Practice address
1200 J D Anderson Dr # a
Morgantown, WV 26505-3494
Phone
(304) 598-1200
Fax
(304) 598-1699
NPI assigned
May 5, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 WV00975 WV Primary

Addresses

Primary practice location

1200 J D Anderson Dr # a
Morgantown, WV 26505-3494

Mailing address

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other practice location 1

300 S Price St
Kingwood, WV 26537-1442
Phone (304) 329-1400

Other practice location 2

140 Middletown Loop
Fairmont, WV 26554-8701
Phone (304) 333-1150

Other practice location 3

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-8000

Other practice location 4

12302 Veterans Memorial Hwy Ste 4
Reedsville, WV 26547-6501
Phone (304) 980-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040426000708 WV Practitioner - Physician Assistant 1456347236 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV00975WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation CurrentSince Nov 14, 2012 Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

300 S Price St
Kingwood, WV 26537
Phone 3043291400287

410 E Main St
Kingwood, WV 26537
Phone (304) 329-0780

12302 Veterans Memorial Hwy
Ste 4
Reedsville, WV 26547
Phone (304) 980-2006

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

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.

Hospital & facility affiliations 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1720036213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR # A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Price St",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371442",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Middletown Loop",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265548701",
            "country_code": "US",
            "telephone_number": "304-333-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12302 Veterans Memorial Hwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reedsville",
            "state": "WV",
            "postal_code": "265476501",
            "country_code": "US",
            "telephone_number": "304-980-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "WV00975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.