Individual provider Active NPI

Kristen Leanne Scheurich, CPNP

  • Pediatric Nurse Practitioner
  • Delphi, IN
National Provider Identifier
1104476621
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28237512A Issued in IN
Practice address
901 Prince William Rd Ste a
Delphi, IN 46923-1759
Phone
(765) 564-3016
NPI assigned
Sep 17, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28237512A IN Primary
Pediatric Registered Nurse 163WP0200X 28237512A IN

Addresses

Primary practice location

901 Prince William Rd Ste a
Delphi, IN 46923-1759

Mailing address

901 Prince William Rd Ste a
Delphi, IN 46923-1759
Phone (800) 321-5043

Other practice location 1

692 E Broadway St
Monon, IN 47959-8191
Phone (800) 321-5043

Other practice location 2

425 E 5th St Ste B
Burlington, IN 46915-9700
Phone (800) 321-5043

Other identifiers 1

IdentifierTypeStateIssuer
300043739MedicaidIN

Other names 1

  • Kristen Leanne Scheurich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014003761 IN Practitioner - Nurse Practitioner 4880014794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
28237512AINMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Community Health Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1104476621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PRINCE WILLIAM RD STE A",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231759",
            "telephone_number": "800-321-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRINCE WILLIAM RD STE A",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231759",
            "telephone_number": "765-564-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "692 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Monon",
            "state": "IN",
            "postal_code": "479598191",
            "country_code": "US",
            "telephone_number": "800-321-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 E 5th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "IN",
            "postal_code": "469159700",
            "country_code": "US",
            "telephone_number": "800-321-5043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEURICH",
        "first_name": "KRISTEN",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28237512A",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IN",
            "license": "28237512A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300043739",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SCHEURICH",
            "middle_name": "LEANNE",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.