ALLISON RAE SHRACK
NPI 1053858621
Nurse Practitioner - Family in Lebanon, IN

Q: What is Allison Shrack's NPI number?

The NPI number for Allison Shrack is 1053858621. It was assigned to this individual provider in the NPPES registry on January 20, 2017.

Q: What is Allison Shrack'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 Allison Shrack was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 January 20, 2017PECOS EnrolledAccepts Medicare Assignment

400 N MOUNT ZION RD, LEBANON, IN 46052(765) 335-0123(765) 335-0127 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Jul 29, 2021, Mar 31, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Allison Rae Shrack NPPES

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

ALLISON RAE SHRACK (NPI 1053858621) is an individual family provider in Lebanon, Indiana, licensed in Indiana (71007355A) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Witham Health Services, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053858621

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALLISON RAE SHRACK

Location Address400 N MOUNT ZION RDLebanon, IN 46052-9497

Mailing Address2605 N Lebanon StLebanon, IN 46052-1476

Phone(765) 335-0123

Fax(765) 335-0127

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 20, 2017

Last NPPES UpdateApril 24, 20244 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1053858621 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

Licenses✔ Licensed in IN · 71007355A✔ Licensed in IN · 28203711A

400 N MOUNT ZION RD, Lebanon, IN 46052

Open in Google Maps ↗

Other Identifiers 1

Medicaid300010815IN

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

Allison Rae Shrack 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 ID9335400464

PECOS Enrollment IDI20180306000131

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services37 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Witham Health Services

Acute Care Hospitals · Lebanon, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150104

Location2605 N Lebanon StLebanon, IN 46052 · Boone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46052 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 13

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

MRS. STACI JEANNE SIDES NP

Nurse Practitioner (Family)