DR. SHANNON ELIZABETH GIDLEY MD
NPI 1679260566
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Dr. Shannon Elizabeth Gidley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON ELIZABETH GIDLEY MD (NPI 1679260566) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shannon Elizabeth Gidley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Shannon Gidley's NPI number?
The NPI number for Shannon Gidley is 1679260566. It was assigned to this individual provider in the NPPES registry on April 20, 2023.
Where is Shannon Gidley located?
Shannon Gidley practices at 1130 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 274-0275.
What is Shannon Gidley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shannon Gidley enrolled in Medicare?
Yes. Shannon Gidley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Gidley was last updated on June 28, 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.
# Dr. Shannon Elizabeth Gidley, MD · NPI 1679260566
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 20, 2023.
## Identity
- **NPI:** 1679260566 (Entity type: Individual)
- **Enumerated:** April 20, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1130 W MICHIGAN ST, Indianapolis, IN 46202-5209
- **Phone:** (317) 274-0275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679260566) · Data from the CMS NPPES public registry.