Individual provider Active NPI

Jonathan William Belsterling

  • Physician Assistant
  • Warsaw, IN
National Provider Identifier
1750181756
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004815A Issued in IN
Practice address
1210 Provident Dr
Warsaw, IN 46580-3376
Phone
(574) 268-4300
Fax
(206) 479-2934
NPI assigned
Mar 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004815A IN Primary

Addresses

Primary practice location

1210 Provident Dr
Warsaw, IN 46580-3376

Mailing address

1210 Provident Dr
Warsaw, IN 46580-3376
Phone (574) 268-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.belsterling@lutheranhealthnetwork.cernerdirect.com

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
I20250509002779 IN Practitioner - Physician Assistant 3375060593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kosciusko Medical Group LLCGroup PAC ID 5496809956, 41 clinicians

Practice addresses (Care Compare)

1205 Provident Dr a
Warsaw, IN 46580-3265
Phone (574) 269-8383

1275 Provident Dr
Warsaw, IN 46580-3265
Phone (574) 269-4026

Hospital & facility affiliations

  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jonathan.belsterling@lutheranhealthnetwork.cernerdirect.com

Organizations & group practices 1

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 1

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1750181756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PROVIDENT DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803376",
            "telephone_number": "574-268-4300",
            "fax_number": "206-479-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PROVIDENT DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803376",
            "telephone_number": "574-268-4300",
            "fax_number": "206-479-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSTERLING",
        "first_name": "JONATHAN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004815A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.belsterling@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "1210 Provident Dr",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465803376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.