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

Mrs. Shauna Kay Sidhom, NP

Individual provider Nurse Practitioner · NPI 1104009430

Mrs. Shauna Kay Sidhom, NP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2006, 20 years ago. Practices with Cinqcare at Home PC, a 31-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Licensed in
IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4026 Madison Ave
Indianapolis, IN 46227
Phone: (317) 788-0396
Fax: (317) 780-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71002333A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71002333A (IN)

Record details

NPI number1104009430
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 10, 2007
Last updated in NPPESApril 9, 2008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Cinqcare At Home Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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