Individual provider Active NPI

Jacob Slifka, PA-C

  • Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1104740976
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA068062 Issued in PA
Practice address
22 St Paul Dr Ste 201
Chambersburg, PA 17201-1036
Phone
(717) 217-6944
NPI assigned
Aug 5, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA068062 PA Primary

Addresses

Primary practice location

22 St Paul Dr Ste 201
Chambersburg, PA 17201-1036

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103

Other practice location 2

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 217-6944

Other practice location 3

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA068062PAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1104740976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ST PAUL DR STE 201",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011036",
            "telephone_number": "717-217-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-218-5103",
            "fax_number": "717-303-3729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-303-3729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-303-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLIFKA",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA068062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.