NPIMap

Individual provider Active NPI

Jason Rutter, PA-C

  • Physician Assistant
  • Newport, OR
National Provider Identifier
1972992253
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007244 Issued in MI
Practice address
930 SW Abbey St
Newport, OR 97365-4820
Phone
(541) 265-2244
NPI assigned
Jan 9, 2015
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 5601007244 MI Primary

Addresses

Primary practice location

930 SW Abbey St
Newport, OR 97365-4820

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrutter194532@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OR, UT, WY, AK, TX6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20150508001202 MI Practitioner - Physician Assistant 8628397932 Reassigns benefits to 1 organization
I20160712000979 OR Practitioner - Physician Assistant 8628397932 Reassigns benefits to 2 organizations
I20200331000872 UT Practitioner - Physician Assistant 8628397932 Reassigns benefits to 2 organizations
I20240513002919 WY Practitioner - Physician Assistant 8628397932 Reassigns benefits to 1 organization
I20251021004051 AK Practitioner - Physician Assistant 8628397932 Reassigns benefits to 3 organizations
I20260204004471 TX Practitioner - Physician Assistant 8628397932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Camai Community Health Center IncGroup PAC ID 3476690876, 12 clinicians
Stgi Health, LLCGroup PAC ID 1850764226, 15 clinicians
Metlakatla Indian CommunityGroup PAC ID 5890691315, 19 clinicians

Practice addresses (Care Compare)

1221 S Dr
Mt Pleasant, MI 48858-3257
Phone (989) 772-6700

2 School Rd
Naknek, AK 99633-0211
Phone (907) 246-6155

2126 Opal Ave
Yellowstone National Park, WY 82190
Phone (703) 578-6030

563 Brendible St
Metlakatla, AK 99926
Phone (907) 886-4741

Old Faithful Clinic 122 Clinic LN
Yellowstone National Park, WY 82190
Phone (703) 578-6030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.24 of 100Reported as group
Quality
98.74
Promoting interoperability
100
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007244MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
Camai Community Health Center, Inc. CurrentSince Jul 25, 2025 Accepting new patients
Metlakatla Indian Community CurrentSince Jan 28, 2026 Accepting new patients
McLaren Hospital Group CurrentSince Nov 11, 2025 Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.rutter.1@20726.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1972992253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-265-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrutter194532@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.