BRAXTON R SHIDLER FNP
NPI 1013660786
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Braxton Shidler's NPI number?

The NPI number for Braxton Shidler is 1013660786. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Q: What is Braxton Shidler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Braxton Shidler was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2022PECOS EnrolledAccepts Medicare Assignment

8205 E 56TH ST STE 100, INDIANAPOLIS, IN 46216(317) 621-1006 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Sep 7, 2022, Feb 1, 2022 (3 updates tracked since 2022).

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About Braxton R Shidler Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAXTON R SHIDLER FNP (NPI 1013660786) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71012197A) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013660786

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRAXTON R SHIDLERCredential: FNP

Location Address8205 E 56TH ST STE 100Indianapolis, IN 46216-1069

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547

Phone(317) 621-1006

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 1, 2022

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1013660786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71012197A

8205 E 56TH ST STE 100, Indianapolis, IN 46216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Braxton R Shidler Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385038686

PECOS Enrollment IDI20220302002975

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

214 services150 patients

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

159 services111 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

123 services78 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

28 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOBY A ZIRKLE M.D.

Family Medicine