Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allison Rae Shrack

Individual provider Family Nurse Practitioner · NPI 1053858621

Allison Rae Shrack is a Nurse Practitioner in Lebanon, Indiana. Qualified in 2017, 9 years ago. Practices with Witham Memorial Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

400 N Mount Zion Rd
Lebanon, IN 46052-9497
Phone: (765) 335-0123
Fax: (765) 335-0127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71007355A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28203711A (IN)

Record details

NPI number1053858621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2017
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address2605 N Lebanon St, Lebanon, IN 46052-1476

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Witham Memorial Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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