Active NPI
Jared Hutson, MD
- Family Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11019298A
- Practice address
- 415 W Columbia St Ste 110
Evansville, IN 47710-1656 - Phone
- (812) 450-3363
- Fax
- (812) 450-3071
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11019298A | IN | Primary |
Addresses
Primary practice location
415 W Columbia St Ste 110
Evansville, IN 47710-1656
Mailing address
415 W Columbia St Ste 110
Evansville, IN 47710-1656
Phone (812) 450-3363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 W Columbia St
110 Deaconess Family Medicine Residency
Evansville, IN 47710-1656
Phone (812) 450-3363
Hospital & facility affiliations
- Aseracare Hospice
- Heritage Hospice Inc
- Heart to Heart Hospice of Evansville, LLC
- Deaconess Hospital Inc
- River Bend Nursing and Rehabilitation
- Brickyard Healthcare - Brentwood Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Deaconess Clinc Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Echo Community Health Care, Inc | Past | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
415 W Columbia St
#110
Evansville, IN 47710
Phone (812) 450-3363
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264
415 W Columbia St
Ste 110
Evansville, IN 47710
Phone (812) 450-3363
415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
Interoperability endpoints
- jhutson168085@direct.deaconess.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| River Bend Nursing and Rehbilitation | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 1, 2023 Oct 1, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1568401263
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
-
- Family Medicine Physician
- Boonville, IN
- NPI 1639502859
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Family Medicine Physician
- Evansville, IN
- NPI 1578727475
-
- Family Medicine Physician
- Evansville, IN
- NPI 1629097639
-
- Federally Qualified Health Center (FQHC)
- Evansville, IN
- NPI 1063805216
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Community Based Hospice Care Agency
- Evansville, IN
- NPI 1588213425
-
- Community Based Hospice Care Agency
- Evansville, IN
- NPI 1538106018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982133070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W COLUMBIA ST STE 110",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101656",
"telephone_number": "812-450-3363",
"fax_number": "812-450-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W COLUMBIA ST STE 110",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101656",
"telephone_number": "812-450-3363",
"fax_number": "812-450-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTSON",
"first_name": "JARED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11019298A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.