Individual provider Active NPI

Krystal Marie Wullschleger, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1144988239
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012061A Issued in IN
Practice address
3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone
(317) 291-7422
Fax
(317) 291-7433
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012061A IN Primary
Family Nurse Practitioner 363LF0000X 28215731A IN

Addresses

Primary practice location

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147

Mailing address

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422

Other practice location 1

4326 Patricia St
Indianapolis, IN 46222-1543
Phone (317) 291-7422

Other practice location 2

7990 E US Highway 36
Avon, IN 46123-7790
Phone (866) 389-2727

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
I20220215001314 IN Practitioner - Nurse Practitioner 2466845409 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012061AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Health Care Center, Inc. Family CurrentSince Jul 18, 2022 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Jan 25, 2022 Accepting new patients
Shalom Health Care Center, Inc. Family CurrentSince Jul 18, 2022 Accepting new patients
Shalom Health Care Center, Inc. Past Accepting new patients
Shalom Health Care Center, Inc. Family Past Accepting new patients

Locations (25 of 38)

7990 E US Highway 36
Avon, IN 46123
Phone (317) 272-0242

5801 E 16th St
Rm 413
Indianapolis, IN 46218
Phone (317) 226-4288

1163 N Belmont Ave
Indianapolis, IN 46222
Phone (317) 226-4263

8620 Montery Rd
Indianapolis, IN 46226
Phone (317) 226-4105

2033 Sugar Grove Ave
Rm 140
Indianapolis, IN 46202
Phone (317) 226-4244

1849 N Whitcomb Ave
Indianapolis, IN 46224
Phone (317) 241-0572

3400 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 293-4113

2302 E Michigan St
Rm 404
Indianapolis, IN 46201
Phone (317) 226-4215

3725 N Kiel Ave
Indianapolis, IN 46224
Phone (317) 226-4194

3150 E 10th St
Ste 100
Indianapolis, IN 46201

5525 W 34th St
Rm 180
Indianapolis, IN 46224

1734 Fletcher Ave
Rm 404
Indianapolis, IN 46203
Phone (317) 226-4239

4575 W 38th St
Indianapolis, IN 46254
Phone (317) 252-3990

3307 Ashway Dr
Indianapolis, IN 46224
Phone (317) 226-4107

7435 N Keystone Ave
Indianapolis, IN 46240
Phone (317) 259-7300

321 N Linwood Ave
Indianapolis, IN 46201
Phone (317) 226-4258

3725 N Kiel Ave
Rm 105
Indianapolis, IN 46224
Phone (317) 226-4767

1501 E 10th St
Indianapolis, IN 46201
Phone (317) 226-3295

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

4326 Patricia St
#61
Indianapolis, IN 46222

307 Lincoln St
Ste 100
Indianapolis, IN 46225

5240 W 22nd St
Indianapolis, IN 46224
Phone (317) 244-9836

5002 W 34th St
Rm 604
Indianapolis, IN 46224

5750 W 56th St
Indianapolis, IN 46254
Phone (317) 291-1411

1250 E Market St
Indianapolis, IN 46202
Phone (317) 226-4214

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAJHAA

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1144988239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4326 Patricia St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221543",
            "country_code": "US",
            "telephone_number": "317-291-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7990 E US Highway 36",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461237790",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WULLSCHLEGER",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012061A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28215731A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.