Individual provider Active NPI

Jason E Delong, PA-C

  • Physician Assistant
  • Nicholasville, KY
National Provider Identifier
1962592972
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA585 Issued in KY
Practice address
78 Summertree Dr
Nicholasville, KY 40356-9714
Phone
(859) 553-6474
Fax
(833) 645-2179
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA585 KY Primary

Addresses

Primary practice location

78 Summertree Dr
Nicholasville, KY 40356-9714

Mailing address

78 Summertree Dr
Nicholasville, KY 40356-9714
Phone (859) 553-6474

Other identifiers 1

IdentifierTypeStateIssuer
95004339MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040226000233 KY Practitioner - Physician Assistant 9739075748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Orthopaedic Consultants of Kentucky LLCGroup PAC ID 7517349343, 2 clinicians

Practice addresses (Care Compare)

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

78 Summertree Dr
Nicholasville, KY 40356-9714
Phone (859) 553-6474

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Louisville, KY, CCN 187090

Merit-based Incentive Payment System (MIPS)

Final score
23.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.19

National Provider Directory

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

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1962592972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SUMMERTREE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569714",
            "telephone_number": "859-553-6474",
            "fax_number": "859-901-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SUMMERTREE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569714",
            "telephone_number": "859-553-6474",
            "fax_number": "833-645-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004339",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.