Nathaniel Stultz, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

020957 Issued in OH

Practice address

1330 Coshocton Ave
Mount Vernon, OH 43050-1495

Phone

(740) 393-9714

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knox Emergency Services LLCGroup PAC ID 0042113862, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nstultz1336659@nychhc.direct-ci.com
• Direct secure messaging: nstultz1158416@direct.trinity-health.org

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.

• Knox Emergency Services, LLC

  • Emergency Medicine Physician
  • Mount Vernon, OH
  • NPI 1861450066

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Cep America - Ohio LLC

  • Emergency Medicine Physician
  • Westerville, OH
  • NPI 1477086346
  Medicare reassignment NPD
• Ohio Valley Physicians Inc

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1962433177

  Nurse Practitioner, OH

  Medicare reassignment NPD
• Cep America - Ohio LLC

  • Emergency Medicine Physician
  • Lewis Center, OH
  • NPI 1306351143
  NPD
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Eastern, KY
  • NPI 1164129599
  NPD

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

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1366971103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 OLD BAY DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627690",
            "telephone_number": "614-359-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501495",
            "telephone_number": "740-393-9714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Old Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Pataskala",
            "state": "OH",
            "postal_code": "430627690",
            "country_code": "US",
            "telephone_number": "614-359-8706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818971",
            "country_code": "US",
            "telephone_number": "380-898-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STULTZ",
        "first_name": "NATHANIEL",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012737A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012737A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Straight
• Morgan Straits, DDS
• Stephanie Lynn Strausbaugh, NP-C
• Alexis Lynn Stringfellow
• Pamela S Studer, CNP
• Rick Stutzman, PH.D.
• Angela Marie Styers, ATC, MS, LAT
• Sugarcreek Physician Services, LLC
• Michael Sullivan, MD
• Amanda Summerfield

• Family Nurse Practitioner in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.