Active NPI
Krystal Marie Wullschleger, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71012061A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012061A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom Health Care Center, Inc. | Family | Current | Accepting new patients |
| Minuteclinic Diagnostics of Indiana, LLC | Family | Current | Accepting new patients |
| Shalom Health Care Center, Inc. | Family | Current | 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
- 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.
-
- Family Nurse Practitioner
- Zionsville, IN
- NPI 1932171634
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1992924633
Family
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1003275512
Family
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1538167036
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1982242327
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.