Jason R Collins, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

60178570 Issued in WA

Practice address

Madigan Army Medical Ctr
9040 Reid Street
Tacoma, WA 98431-0001

Phone

(253) 968-3885

Fax

(253) 968-3278

NPI assigned

Jan 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jlyb, LLC

  • Physician Assistant
  • San Antonio, TX
  • NPI 1033685029
  Medicare reassignment NPD
• Leading Edge Emergency Physicians, Inc

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1003165259
  Medicare reassignment
• River City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1164645297
  NPD (past)
• River City Observation Services PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1700123056
  NPD (past)
• River City Pediatric Emergency Physicians, PLLC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • San Antonio, TX
  • NPI 1972816692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1942446471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "MCHJ-QCR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "9040 REID STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-3885",
            "fax_number": "253-968-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60178570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyshia Lynn Collins
• Elliott Cross Collins, PA-C
• Eunhye Collins
• Greg S Collins, LMP
• Heidi Collins
• Katie Jean Collins, REGISTERED NURSE
• Nicole Ann Collins, D.D.S
• Pamela Jean Collins, MHE
• Queleah Nadja Collins
• Rebeccah Collins, RN.

• Physician Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.

Verify at the official NPI Registry.