JASON TREVOR QUEEN PA-C
NPI 1184518854
Student in an Organized Health Care Education/Training Program in Lafayette, IN

Active since June 05, 2025PECOS EnrolledAccepts Medicare Assignment
5165 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 28, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Jason Trevor Queen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON TREVOR QUEEN PA-C (NPI 1184518854) is an individual student in an organized health care education/training program in Lafayette, Indiana and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184518854
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON TREVOR QUEENCredential: PA-C
Location Address5165 MCCARTY LNLafayette, IN 47905-8764
Mailing Address3848 Constitution DrCarmel, IN 46032-9350 · (618) 960-6625
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
NPI 1184518854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 10004870A (IN)
5165 MCCARTY LN, Lafayette, IN 47905

Secondary Practice Locations 2

Location 1720 S 6th StMonticello, IN 47960-8182 · Phone (574) 582-7111
Location 21300 S Jackson StFrankfort, IN 46041-3313 · Phone (765) 656-3000

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

Jason Trevor Queen 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.

PECOS PAC ID2365950847
PECOS Enrollment IDI20250805002906
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151312
Location720 South Sixth StMonticello, IN 47960 · White County
Emergency services

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.

Pharmacist (Pharmacotherapy)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Dietitian, Registered
5165 MCCARTY LN
LAFAYETTE, IN 47905
Physician Assistant (Medical)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Emergency Medicine
5165 MCCARTY LN
LAFAYETTE, IN 47905
Durable Medical Equipment & Medical Supplies
5165 MCCARTY LN
LAFAYETTE, IN 47905
Pharmacist (Geriatric)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Pharmacy (Community/Retail Pharmacy)
5165 MCCARTY LN
LAFAYETTE, IN 47905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184518854, enumerated as an "individual" on June 05, 2025.

The provider is located at 5165 MCCARTY LN LAFAYETTE, IN 47905 and the phone number is (765) 448-8000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Jason Queen is affiliated with: INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL and INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL.