DR SHIDELER PC
NPI 1174895742
Chiropractor in Bluffton, IN
About Dr Shideler Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR SHIDELER PC (NPI 1174895742) is a healthcare organization registered as a chiropractor in Bluffton, Indiana and active in the NPI registry since January 2012. The organization lists Randy Shideler, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Shideler Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Shideler PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dr Shideler PC's NPI number?
The NPI number for Dr Shideler PC is 1174895742. It was assigned to this organization in the NPPES registry on January 30, 2012.
Where is Dr Shideler PC located?
Dr Shideler PC is located at 753 N Main St, Bluffton, IN 46714. The listed phone number is (260) 824-0318.
What is Dr Shideler PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Dr Shideler PC enrolled in Medicare?
Yes. Dr Shideler PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Shideler PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr Shideler PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Shideler PC was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr Shideler Pc · NPI 1174895742
Chiropractor organization in Bluffton, Indiana. Organization record, active in the CMS NPPES registry since January 30, 2012.
## Identity
- **NPI:** 1174895742 (Entity type: Organization)
- **Enumerated:** January 30, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Randy Shideler, PRESIDENT
## Practice location
- **Address:** 753 N MAIN ST, Bluffton, IN 46714-1313
- **Phone:** (260) 824-0318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2012
- **Other identifiers:** Medicare PIN 058890 (IN); Other 000000183222 (IN); Medicaid 100054940A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1174895742) · Data from the CMS NPPES public registry.