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

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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