Individual provider Active NPI

Jared Hutson, MD

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1982133070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11019298A Issued in IN
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200804003476 IN Practitioner - Family Practice 0143599167 Reassigns benefits to 2 organizations
I20220303002080 KY Practitioner - Family Practice 0143599167 Reassigns benefits to 1 organization

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
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

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 Hospice, Evansville, IN, CCN 151590
  • Heritage Hospice Inc Hospice, Evansville, IN, CCN 151589
  • Heart to Heart Hospice of Evansville, LLC Hospice, Evansville, IN, CCN 151633
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • River Bend Nursing and Rehabilitation Nursing home, Evansville, IN, CCN 155621
  • Brickyard Healthcare - Brentwood Care Center Nursing home, Evansville, IN, CCN 155248

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Family Medicine Current Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Deaconess Clinic, Inc Family Medicine CurrentSince Sep 7, 2020 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Sep 7, 2020 Accepting new patients
Deaconess Hospital, Inc. Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Deaconess Clinc Inc Family Medicine CurrentSince Dec 4, 2021 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Hospital Inc CurrentSince Jun 1, 2021 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
River Bend Nursing and RehbilitationEvansville, IN, CCN 155621 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.

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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.