MRS. SHAUNA KAY SIDHOM NP
NPI 1104009430
Nurse Practitioner in Indianapolis, IN

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
4026 MADISON AVE, INDIANAPOLIS, IN 46227(317) 788-0396(317) 780-0860 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shauna Kay Sidhom Np NPPES

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

MRS. SHAUNA KAY SIDHOM NP (NPI 1104009430) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71002333A) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104009430
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHAUNA KAY SIDHOMCredential: NP
Location Address4026 MADISON AVEIndianapolis, IN 46227
Mailing Address200 South Meridian Street, Suite 400Indianapolis, IN 46225
Fax(317) 780-0860
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 10, 2007
Last NPPES UpdateApril 9, 2008
NPI 1104009430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71002333A
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71002333A (IN)
4026 MADISON AVE, Indianapolis, IN 46227

Other Names 1

Former Name (1)Miss Shauna Kay Hollinger Np

Accepted 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

Mrs. Shauna Kay Sidhom Np 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 ID6800104191
PECOS Enrollment IDI20151007000234
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shauna Sidhom's NPI number?

The NPI number for Shauna Sidhom is 1104009430. It was assigned to this individual provider in the NPPES registry on December 10, 2007. The provider is also known as Miss Shauna Kay Hollinger Np.

Where is Shauna Sidhom located?

Shauna Sidhom practices at 4026 Madison Ave, Indianapolis, IN 46227. The listed phone number is (317) 788-0396.

What is Shauna Sidhom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shauna Sidhom enrolled in Medicare?

Yes. Shauna Sidhom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shauna Sidhom accept?

Health plans from UnitedHealthcare list Shauna Sidhom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shauna Sidhom was last updated on April 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.