MR. JASON D. ANDRUS PA-C
NPI 1104808369
Physician Assistant - Surgical in Meriden, CT
About Mr. Jason D. Andrus Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASON D. ANDRUS PA-C (NPI 1104808369) is an individual surgical provider in Meriden, Connecticut, licensed in Connecticut (1011) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Branford, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jason D. Andrus Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERIDEN, CT 06451
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jason Andrus's NPI number?
The NPI number for Jason Andrus is 1104808369. It was assigned to this individual provider in the NPPES registry on November 15, 2005.
Where is Jason Andrus located?
Jason Andrus practices at 435 Lewis Ave, Meriden, CT 06451. The listed phone number is (833) 203-7523.
What is Jason Andrus's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jason Andrus enrolled in Medicare?
Yes. Jason Andrus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jason Andrus was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jason D. Andrus, PA-C · NPI 1104808369
Surgical physician in Meriden, Connecticut. Individual provider, active in the CMS NPPES registry since November 15, 2005.
## Identity
- **NPI:** 1104808369 (Entity type: Individual)
- **Enumerated:** November 15, 2005
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 1011 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 435 LEWIS AVE, Meriden, CT 06451-2101
- **Phone:** (833) 203-7523
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104808369) · Data from the CMS NPPES public registry.