Jason E Delong, PA-C
Physician Assistant in Nicholasville, KY. Individual provider (NPI-1).
NPI number1962592972
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1962592972
- Entity type
- Individual (NPI-1)
- Name
- Jason E Delong
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2006
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA585 | KY | Yes |
Practice location
78 Summertree DrNicholasville, KY 40356-9714
Phone 859-553-6474 · Fax 833-645-2179
Mailing address
78 Summertree DrNicholasville, KY 40356-9714
Phone 859-553-6474 · Fax 859-901-0015
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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