Active NPI
Jacob Slifka, PA-C
- Physician Assistant
- Chambersburg, PA
National Provider Identifier
1104740976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA068062
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA068062 | PA | MD | Physician 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.