Individual provider Active NPI

Jayson C Hartman, PAS

  • Physician Assistant
  • Richmond, IN
National Provider Identifier
1801028741
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001104A Issued in IN
Practice address
1400 Highland Rd Ste 1
Richmond, IN 47374-8810
Phone
(765) 935-8905
Fax
(765) 939-4200
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003006 OH
Physician Assistant 363A00000X 10001104A IN Primary

Addresses

Primary practice location

1400 Highland Rd Ste 1
Richmond, IN 47374-8810

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8905

Other identifiers 2

IdentifierTypeStateIssuer
000000768377OtherANTHEM - REID HOSPITAL
0111096MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhartman301032@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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
I20090929000497 IN Practitioner - Physician Assistant 7618013905 Reassigns benefits to 1 organization
I20091210000366 OH Practitioner - Physician Assistant 7618013905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1101 Jackson St
Greenville, OH 45331-1396

1400 Highland Rd
Suite 1
Richmond, IN 47374-8810
Phone (765) 935-8905

2390 National Rd W
Richmond, IN 47374-4625

550 Hallmark Dr
Eaton, OH 45320-8648
Phone (937) 456-4181

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10001104AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Jul 9, 2012 Accepting new patients
Reid Physician Associates, Inc. Physician Assistant CurrentSince Jul 9, 2012 Accepting new patients
Eastern Indiana Orthopaedics Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1400 Highland Rd
Ste 1
Richmond, IN 47374
Phone (765) 935-8905

1400 Highland Rd
Richmond, IN 47374
Phone (765) 935-8905

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

716 Sweitzer St
Greenville, OH 45331
Phone (765) 935-8905

Interoperability endpoints

  • Direct secure messaging: jhartman301032@reidhealth.direct-ci.com
  • Direct secure messaging: jhartman301032@ecommunitydirect.com

Organizations & group practices 5

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1801028741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8905",
            "fax_number": "765-939-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHLAND RD STE 1",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473748810",
            "telephone_number": "765-935-8905",
            "fax_number": "765-939-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JAYSON",
        "middle_name": "C",
        "credential": "PAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003006",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001104A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - REID HOSPITAL",
            "identifier": "000000768377",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111096",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhartman301032@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1400 Highland Rd",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473748809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.