Active NPI
Jill Sluder, FNP-C
- Surgery Physician
- Washington, IN
National Provider Identifier
1356911531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 71011426A
- Practice address
- 1401 Memorial Ave Ste C
Washington, IN 47501-3154 - Phone
- (812) 254-8856
- Fax
- (812) 254-4831
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28223762A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71011426A | IN | |
| Surgery Physician | 208600000X | 71011426A | IN | Primary |
Addresses
Primary practice location
1401 Memorial Ave Ste C
Washington, IN 47501-3154
Mailing address
PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jillsluder@dchpm.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28223762A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients |
Locations
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
300 NE 14th St
Washington, IN 47501
Phone (812) 254-2250
1401 Memorial Ave
Ste C
Washington, IN 47501
Phone (812) 254-4399
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1124231493
-
- General Acute Care Hospital
- Washington, IN
- NPI 1619154820
-
- Orthopaedic Surgery Physician
- Washington, IN
- NPI 1083915326
-
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1275745002
-
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1356911531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010760",
"telephone_number": "812-254-7310",
"fax_number": "812-257-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MEMORIAL AVE STE C",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475013154",
"telephone_number": "812-254-8856",
"fax_number": "812-254-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUDER",
"first_name": "JILL",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28223762A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011426A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "71011426A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jillsluder@dchpm.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1401 Memorial Ave Ste C",
"city": "Washington",
"state": "IN",
"country_code": "US",
"postal_code": "475013154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.