Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Marise Selders Williams, PA-C

Individual provider Physician Assistant · NPI 1962858605

Jaclyn Marise Selders Williams, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with American Health Network of Indiana LLC, a 204-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone: (317) 944-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 — (317) 208-3866
  • 3631 N Morrison Rd, Muncie, IN 47304-5547 — (172) 083-8663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1 (IN)
Physician Assistant Taxonomy 363A00000X · Licence 10002060A (IN)

Record details

NPI number1962858605
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice American Health Network Of Indiana Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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