Individual provider Active NPI

Richard Alan Jones Jr., PA-C

  • Physician Assistant
  • Minocqua, WI
National Provider Identifier
1912376104
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9515458-1206 Issued in UT
Practice address
9576 Hwy 70
Minocqua, WI 54548-9067
Phone
(715) 358-1000
NPI assigned
Sep 18, 2015
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9515458-1206 UT Primary
Physician Assistant 363A00000X 5601009907 MI
Physician Assistant 363A00000X 4128 TN
Physician Assistant 363A00000X 4802 CT
Physician Assistant 363A00000X PA9113223 FL
Physician Assistant 363A00000X 0110-007165 VA
Physician Assistant 363A00000X 50.006414RX OH
Physician Assistant 363A00000X 3545 SC
Physician Assistant 363A00000X 024950 NY
Physician Assistant 363A00000X 8511 WI

Addresses

Primary practice location

9576 Hwy 70
Minocqua, WI 54548-9067

Mailing address

5554 S Edgeberry Dr
Murray, UT 84123-7939
Phone (541) 701-4822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NC, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151102002585 UT Practitioner - Physician Assistant 2961712005 Reassigns benefits to 1 organization
I20241001004006 NC Practitioner - Physician Assistant 2961712005 Reassigns benefits to 6 organizations
I20250611001511 WI Practitioner - Physician Assistant 2961712005 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.12 of 100Reported as group
Quality
2.83
Improvement activities
40
Cost
82.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3545SCMDProfessional Counselor
4128TNMDPhysical Therapy Assistant
4802CTMDPhysician Assistant
PA9113223FLMDPhysician Assistant
5601009907MIMDPhysician Assistant
50.006414RXOHMDPhysician Assistant
0110-007165VAMDPhysician Assistant
8511WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc CurrentSince Feb 1, 2026 Accepting new patients
Southwest Health Center, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 6, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 6, 2025 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Sep 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 6, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 14, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 6, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 6, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 14, 2025 Accepting new patients
Emergency Physicians Integrated Care, LLC CurrentSince Nov 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 6, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 6, 2025 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 6, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 6, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 6, 2025 Accepting new patients
Ballantyne Emergency Physicians PLLC Past Accepting new patients
Granger Medical Specialists LLC Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Fl 1
Rio Rancho, NM 87124
Phone (505) 559-6100

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: rjones2979403@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rjones273860@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 5

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": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1912376104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 S EDGEBERRY DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841237939",
            "telephone_number": "541-701-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 HWY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489067",
            "telephone_number": "715-358-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9515458-1206",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009907",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4128",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4802",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007165",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006414RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3545",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024950",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

Verify at the official NPI Registry.