Individual provider Active NPI

Jason Raabe, PA-C

  • Physician Assistant
  • Springfield, OH
National Provider Identifier
1770567661
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002026RX Issued in OH
Practice address
30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone
(937) 523-9820
Fax
(937) 523-9829
NPI assigned
Dec 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 007593 CT
Physician Assistant 363A00000X 50.002026RX OH Primary
Surgical Physician Assistant 363AS0400X 50002026 OH

Addresses

Primary practice location

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853

Mailing address

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone (937) 523-9885

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-8063
Phone (860) 679-8080

Other practice location 2

5131 Beacon Hill Rd
#210
Columbus, OH 43228-4442
Phone (614) 544-2445

Other identifiers 1

IdentifierTypeStateIssuer
373855OtherOHANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jraabe95768@direct.med.uchc.edu Direct
Direct Messaging Address adena.ctv@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050829000539 OH Practitioner - Physician Assistant 6103889142 Reassigns benefits to 3 organizations
I20260323003048 CT Practitioner - Physician Assistant 6103889142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007593CTMDClinical Social Worker
50002026OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Dec 30, 2022 Accepting new patients
Genesis Medical Group LLC CurrentSince Dec 30, 2022 Accepting new patients
CRB of Ohio, Inc Past Accepting new patients

Locations

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

Interoperability endpoints

  • Direct secure messaging: jraabe1076618@direct.osumc.edu
  • Direct secure messaging: jraabe1718500@direct.bsmhealth.org

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 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": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1770567661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 106",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 106",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9820",
            "fax_number": "937-523-9829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060308063",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5131 Beacon Hill Rd",
            "address_2": "#210",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432284442",
            "country_code": "US",
            "telephone_number": "614-544-2445",
            "fax_number": "614-544-2446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAABE",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "007593",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002026RX",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50002026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "373855",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jraabe95768@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060308063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.ctv@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159 Ste 130",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456018207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.