Individual provider Active NPI

Emily Katherine Crecelius, FNP

  • Family Nurse Practitioner
  • Loogootee, IN
National Provider Identifier
1184585630
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28202895A Issued in IN
Practice address
313 Poplar St
Loogootee, IN 47553-2423
Phone
(812) 295-4433
NPI assigned
Nov 22, 2025
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28202895A IN Primary

Addresses

Primary practice location

313 Poplar St
Loogootee, IN 47553-2423

Mailing address

10400 Chippewa Dr
Newburgh, IN 47630-8715
Phone (812) 598-7536

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
I20260318003915 IN Practitioner - Nurse Practitioner 7719461615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

2350 Taft St
Gary, IN 46404-3349
Phone (877) 883-9430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28202895AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Feb 11, 2026 Accepting new patients
Altea Medical Indiana PC CurrentSince Feb 11, 2026 Accepting new patients

Locations

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1184585630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 CHIPPEWA DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308715",
            "telephone_number": "812-598-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 POPLAR ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475532423",
            "telephone_number": "812-295-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRECELIUS",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28202895A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loogootee, IN

Sources for this page

Verify at the official NPI Registry.