Individual provider Active NPI

Amber Sitterding

  • Family Nurse Practitioner
  • Shelbyville, IN
National Provider Identifier
1780400028
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016105A Issued in IN
Practice address
2451 Intelliplex Dr Ste 240
Shelbyville, IN 46176-8581
Phone
(317) 398-7337
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016105A IN Primary

Addresses

Primary practice location

2451 Intelliplex Dr Ste 240
Shelbyville, IN 46176-8581

Mailing address

2451 Intelliplex Dr Ste 240
Shelbyville, IN 46176-8581

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
I20241213002718 IN Practitioner - Nurse Practitioner 0042746034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71016105AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Hospital CurrentSince Dec 10, 2024 Accepting new patients
Major Hospital CurrentSince Dec 10, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Ste 240
Shelbyville, IN 46176
Phone (317) 398-7337

Organizations & group practices 5

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1780400028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 240",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 240",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581",
            "telephone_number": "317-398-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTERDING",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016105A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.