Active NPI
Jason Duane Melton, PA-C
- Physician Assistant
- Chino Valley, AZ
National Provider Identifier
1891352407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8052
- Practice address
- 87 S Hwy 89
Chino Valley, AZ 86323-5687 - Phone
- (928) 208-4309
- Fax
- (928) 227-1229
- NPI assigned
- May 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8052 | AZ | Primary |
Addresses
Primary practice location
87 S Hwy 89
Chino Valley, AZ 86323-5687
Mailing address
PO Box 1341
Chino Valley, AZ 86323-1341
Phone (928) 963-1298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Health Care Prescott LLC | Past | Accepting new patients | |
| Exceptional Health Care Bullhead City LLC | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bullhead City, AZ
- NPI 1518732023
-
- Emergency Medical Services (Emergency Medicine) Physician
- Prescott, AZ
- NPI 1720807670
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1235857699
-
- Emergency Medicine Physician
- Prescott, AZ
- NPI 1508816257
-
dba Exceptional Community Hospital Bullhead City
- Special Hospital
- Bullhead City, AZ
- NPI 1750092110
-
- Special Hospital
- Prescott, AZ
- NPI 1396452108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1891352407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1341",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863231341",
"telephone_number": "928-963-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 S HWY 89",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863235687",
"telephone_number": "928-208-4309",
"fax_number": "928-227-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JASON",
"middle_name": "DUANE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.