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

Mrs. Staci Jeanne Sides, NP

Individual provider Family Nurse Practitioner · NPI 1023567823

Mrs. Staci Jeanne Sides, NP is a Nurse Practitioner in Lebanon, Indiana. Qualified in 2016, 10 years ago. Practices with Witham Memorial Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
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

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 71006609A (IN)

Record details

NPI number1023567823
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Witham Memorial Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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