Individual provider Active NPI

Jessica Silva, PA-C

  • Physician Assistant
  • Greenwood, IN
National Provider Identifier
1639887839
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003808A Issued in IN
Practice address
489 S State Road 135 Ste F
Greenwood, IN 46142-1400
Phone
(317) 887-7640
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 10003808A IN Primary

Addresses

Primary practice location

489 S State Road 135 Ste F
Greenwood, IN 46142-1400

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other identifiers 2

IdentifierTypeStateIssuer
10003808AOtherININDIANA PA LICENSE
1191170OtherNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221128002103 IN Practitioner - Physician Assistant 6002284924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1290 N State Rd
Suite 135
Greenwood, IN 46142-1003
Phone (317) 865-0472

1808 Albany St
Beech Grove, IN 46107-1404
Phone (317) 786-1031

3545 W 86TH St
Indianapolis, IN 46268-1930
Phone (317) 228-0419

489 S State Rd
135 Suite F
Greenwood, IN 46142-1400
Phone (317) 887-7640

700 US Hwy 31 S
Greenwood, IN 46143-2401
Phone (317) 883-0567

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Community Physician Network Urgent Care LLC Single Specialty CurrentSince Aug 7, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

489 S State Road 135
Ste F
Greenwood, IN 46142
Phone (317) 887-7640

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Interoperability endpoints

  • Direct secure messaging: jsilva635923@ecommunitydirect.com

Organizations & group practices 2

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1639887839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 S STATE ROAD 135 STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421400",
            "telephone_number": "317-887-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003808A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PA LICENSE",
            "identifier": "10003808A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1191170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.