Jason Robert Blackshear , PA-C
Physician Assistant • Stockton, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jason Blackshear has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jason Blackshear, PA-C was a registered Physician Assistant practicing in Stockton, CA. Throughout an active medical career spanning 15 years, Jason Blackshear provided care at the practice location at 1800 N CALIFORNIA ST until profile deactivation on 2023-01-18.
Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1800 N California St
Stockton, CA 952046019
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Stockton, CA
Practicing in Stockton, CA (14617 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99285
Emergency department visit for life threatening or functioning severity
|
34 | 34 | $2137.59 | $153.26 |
|
99284
Emergency department visit with moderate level of medical decision making
|
25 | 25 | $1316.00 | $105.39 |
|
99283
Emergency department visit with low level of medical decision making
|
23 | 23 | $887.39 | $62.05 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 18, 2023
Physician Assistant (License #PA19753 in CA)
NPI status registered as active in NPPES database
Registered at 1800 N CALIFORNIA ST, STOCKTON, CA 952046019 (Tel: 2094686306)
Registered at 1800 N CALIFORNIA ST, STOCKTON, CA 952046019
Recorded as JASON BLACKSHEAR, PA-C
Physician Assistant (License #PA19753 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1800 N California St
Stockton, CA 952046019
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