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

Braxton R Shidler, FNP

Individual provider Family Nurse Practitioner · NPI 1013660786

Braxton R Shidler, FNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

8205 E 56th St Ste 100
Indianapolis, IN 46216-1069
Phone: (317) 621-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1745 Union St, Indianapolis, IN 46225-1762 — (317) 778-4868

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012197A (IN)

Record details

NPI number1013660786
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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