JASON PATRICK FNP-C
NPI 1730705377
Nurse Practitioner - Family in Fort Huachuca, AZ
About Jason Patrick Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON PATRICK FNP-C (NPI 1730705377) is an individual family provider in Fort Huachuca, Arizona, licensed in Arizona (242268) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Patrick Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT HUACHUCA, AZ 85613
SIERRA VISTA, AZ 85613
FORT HUACHUCA, AZ 85613
FORT HUACHUCA, AZ 85613
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 Patrick's NPI number?
The NPI number for Jason Patrick is 1730705377. It was assigned to this individual provider in the NPPES registry on June 19, 2020.
Where is Jason Patrick located?
Jason Patrick practices at 2240 Winrow Rd, Fort Huachuca, AZ 85613. The listed phone number is (520) 533-9200.
What is Jason Patrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jason Patrick enrolled in Medicare?
Yes. Jason Patrick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jason Patrick was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jason Patrick, FNP-C · NPI 1730705377
Family physician in Fort Huachuca, Arizona. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1730705377 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 242268 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2240 WINROW RD, Fort Huachuca, AZ 85613-5080
- **Phone:** (520) 533-9200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 6, 2023
- **Other identifiers:** Other 242268 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1730705377) · Data from the CMS NPPES public registry.