Individual provider Active NPI

Jill M Seng, PA-C

  • Physician Assistant
  • Jasper, IN
National Provider Identifier
1346678141
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001594A Issued in IN
Practice address
695 W 2ND St Ste 2a
Jasper, IN 47546-3240
Phone
(812) 996-5950
Fax
(812) 996-5951
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 PA.0004544 CO
Physician Assistant 363A00000X 10001594A IN Primary

Addresses

Primary practice location

695 W 2ND St Ste 2a
Jasper, IN 47546-3240

Mailing address

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131218000586 IN Practitioner - Physician Assistant 8921235953 Reassigns benefits to 2 organizations
I20160229000950 CO Practitioner - Physician Assistant 8921235953

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

695 W 2ND St
Jasper, IN 47546-3240
Phone (812) 996-5950

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

Hospital & facility affiliations

  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Indiana University Health Paoli Hospital Hospital, Paoli, IN, CCN 151306

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Dec 29, 2025 Accepting new patients
Deaconess Speciality Physicians, Inc Physician Assistant CurrentSince Dec 29, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Deaconess Specialty Physicians, Inc Physician Assistant Past Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physician Assistant Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

695 2nd St
Ste A2
Jasper, IN 47546
Phone (812) 996-5950

695 2nd St
Jasper, IN 47546
Phone (812) 482-4111

695 2nd St
Ste 2A
Jasper, IN 47546
Phone (812) 996-5950

Interoperability endpoints

  • Direct secure messaging: 07senj@tsos.srs-direct.com
  • Direct secure messaging: jseng69915@direct.deaconess.com
  • Direct secure messaging: jseng32176@direct.mhhcc.org

Organizations & group practices 8

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 2

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1346678141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462514",
            "telephone_number": "812-996-0299",
            "fax_number": "812-996-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 W 2ND ST STE 2A",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463240",
            "telephone_number": "812-996-5950",
            "fax_number": "812-996-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENG",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004544",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.