Individual provider Active NPI

Jason Robert Barnett, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1891362356
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165
Phone
(817) 540-4477
Fax
(817) 540-5633
NPI assigned
Jun 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0006814 CO
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165

Mailing address

2425 Highway 121
Bedford, TX 76021-5011
Phone (817) 540-4477

Other practice location 1

2425 Highway 121
Bedford, TX 76021-5011
Phone (817) 540-4477

Other practice location 2

10932 N Riverside Dr Ste 108
Fort Worth, TX 76244-7137
Phone (817) 540-4477

Other practice location 3

4350 Limelight Ave Ste 100
Castle Rock, CO 80109-8034
Phone (720) 455-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230921001026 CO Practitioner - Physician Assistant 2567864333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650

2353 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (720) 455-3750

2360 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (303) 715-7106

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

4350 Limelight Ave
Suite 100
Castle Rock, CO 80109-8034
Phone (720) 455-3775

Hospital & facility affiliations

  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006814COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Oct 2, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 2, 2023 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4350 Limelight Ave
Unit 100
Castle Rock, CO 80109
Phone (720) 455-3775

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: jbarnett2090280@adventhealth.direct-ci.com

Organizations & group practices 4

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 1

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1891362356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215011",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 GOLDEN TRIANGLE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777165",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Highway 121",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215011",
            "country_code": "US",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10932 N Riverside Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762447137",
            "country_code": "US",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Limelight Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098034",
            "country_code": "US",
            "telephone_number": "720-455-3775",
            "fax_number": "720-455-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0006814",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.