Provider Demographics
NPI:1023025665
Name:BENNETT, SHERI STOHLER (NP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:STOHLER
Last Name:BENNETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:ELMIRA
Other - Last Name:STOHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6626 E 75TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7930 N SHADELAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2943
Practice Address - Country:US
Practice Address - Phone:317-621-6725
Practice Address - Fax:317-621-4545
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000710A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000283939OtherANTHEM PIN
IN200227810Medicaid
IN500013875OtherRAILROAD MEDICARE
IN500013875OtherRAILROAD MEDICARE
INS87794Medicare UPIN