Active NPI
Hannah Jean Shideler
- Family Nurse Practitioner
- Crawfordsville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71012943A
- Practice address
- 1710 Lafayette Rd
Crawfordsville, IN 47933-1033 - Phone
- (765) 361-3020
- Fax
- (765) 364-3282
- NPI assigned
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28230342A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71012943A | IN | Primary |
Addresses
Primary practice location
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
3662 S 450 W
West Lebanon, IN 47991-8051
Phone (765) 585-8545
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 364-8942
Hospital & facility affiliations
- Franciscan Health Crawfordsville
- Franciscan Health Lafayette
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012943A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1497422638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 LAFAYETTE RD",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331033",
"telephone_number": "765-361-3020",
"fax_number": "765-364-3282"
}
],
"practiceLocations": [
{
"address_1": "3662 S 450 W",
"address_purpose": "LOCATION",
"city": "West Lebanon",
"state": "IN",
"postal_code": "479918051",
"country_code": "US",
"telephone_number": "765-585-8545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIDELER",
"first_name": "HANNAH",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28230342A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012943A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.