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

Q: What is Jason Queen's NPI number?

The NPI number for Jason Queen is 1184518854. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Q: What is Jason Queen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Queen was last updated on November 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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).

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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

Phone(765) 448-8000

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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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

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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.

JON JACOB HILES PHARMD, BCPS

Pharmacist (Pharmacotherapy)