Individual provider Active NPI

Jill Slonaker, PA-C

  • Physician Assistant
  • Warsaw, IN
National Provider Identifier
1053918409
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003021A Issued in IN
Practice address
2235 Dubois Dr
Warsaw, IN 46580-3212
Phone
(574) 371-2625
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10003021A IN Primary

Addresses

Primary practice location

2235 Dubois Dr
Warsaw, IN 46580-3212

Mailing address

18490 Latonka TRL
Culver, IN 46511-9411
Phone (812) 593-6504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.slonaker@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408001588 IN Practitioner - Physician Assistant 6507274693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kosciusko Medical Group LLCGroup PAC ID 5496809956, 41 clinicians

Practice addresses (Care Compare)

1205 Provident Dr a
Warsaw, IN 46580-3265
Phone (574) 269-8383

1275 Provident Dr
Warsaw, IN 46580-3265
Phone (574) 269-4026

2235 Dubois Dr
Warsaw, IN 46580-3212
Phone (574) 267-8189

Hospital & facility affiliations

  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jill.slonaker@lutheranhealthnetwork.cernerdirect.com
  • Direct secure messaging: jill.slonaker.1@29579.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1053918409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18490 LATONKA TRL",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465119411",
            "telephone_number": "812-593-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803212",
            "telephone_number": "574-371-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONAKER",
        "first_name": "JILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003021A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.slonaker@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct ID",
            "address_1": "2235 DuBois Dr",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465803212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.