JASON AARON CANTERBERRY (PA-C) – Physician Assistant, NPI 1588086433

JASON AARON CANTERBERRY (PA-C) is a healthcare provider. based in Brandon, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9107697 (FL). The NPI Number for JASON AARON CANTERBERRY (PA-C) is 1588086433

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON AARON CANTERBERRY (PA-C)
NPI
1588086433
Phone
(727) 492-1465
Address
1524 CREEKBEND DR
Enumeration Date
13 January 2014
Last Update Date
13 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709651042
Graduation Year
2013 (13 years ago)
PAC ID
0749585958
Group Practice PAC ID
8426398793
Professional Enrollment ID
I20171003005947
Address ID
KY420641516MA520XXSTXX400

Contacts

Secure Messaging
jcanterberry116101@direct.owensborohealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for JASON AARON CANTERBERRY (PA-C)

  • 1524 CREEKBEND DR

    BRANDON, FL 335102351

    Phone: (727) 492-1465

    Type: Mailing

  • 3250 ZEMKE AVE

    6TH MEDICAL GROUP

    MACDILL AFB, FL 33621

    Phone: (813) 827-9213

    Type: Location

  • 510 RUBY DR

    MADISONVILLE, KY 424312168

    Phone: (270) 399-7900

    Fax: (270) 399-7910

    Type: Location

  • PO BOX 23229

    OWENSBORO, KY 423043229

    Phone: (270) 688-1330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171003005947IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes170152$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13630$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10826$0
96372Injection of drug or substance under skin or into muscle4638$0
99214Established patient office or other outpatient visit, 30-39 minutes3937$0
View full utilization report →

Insurance plans in this area (ZIP 33510)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426398793View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Certified Registered Nurse Anesthetist (Crna)OH
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Cardiovascular Disease (Cardiology), Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerKY

Reviews

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Frequently asked questions

Where can patients find JASON AARON CANTERBERRY (PA-C)'s NPI?
You can confirm JASON AARON CANTERBERRY (PA-C) with NPI 1588086433; it appears in the national provider directory.
Is JASON AARON CANTERBERRY (PA-C) currently active in the NPI registry?
CMS-published data lists JASON AARON CANTERBERRY (PA-C) as an active registrant.
What kind of provider is JASON AARON CANTERBERRY (PA-C)?
The page reflects Physician Assistant for JASON AARON CANTERBERRY (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for JASON AARON CANTERBERRY (PA-C)?
The page summarizes Brandon, Florida for JASON AARON CANTERBERRY (PA-C); expand the address list for detail.
Is JASON AARON CANTERBERRY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1588086433. Always confirm identity and privileges with the practice and licensing boards.

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