Individual provider Active NPI

Jill Sluder, FNP-C

  • Surgery Physician
  • Washington, IN
National Provider Identifier
1356911531
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
71011426A Issued in IN
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

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907000416 IN Practitioner - Nurse Practitioner 8820494560 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28223762AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Aug 26, 2021 Accepting new patients
Daviess County Hospital CurrentSince Aug 26, 2021 Accepting new patients
Daviess County Hospital CurrentSince Aug 26, 2021 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.

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

Verify at the official NPI Registry.