Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenaca Ranae Tilson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1588181960

Jenaca Ranae Tilson, PHYSICIANASSISTANT is a Physician Assistant in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2017, 9 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2001 W 86th St
Indianapolis, IN 46260
Phone: (317) 338-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 N Ritter Ave, Indianapolis, IN 46219-3027 — (317) 355-1411

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002399A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588181960
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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