Active NPI
Crystal Stutler, FNP
- Family Nurse Practitioner
- Greenwood, IN
National Provider Identifier
1508450263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010876A
- Practice address
- 5604 Pintail LN
Greenwood, IN 46143-4003 - Phone
- (812) 212-2755
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71010876 | IN | |
| Family Nurse Practitioner | 363LF0000X | 71010876A | IN | Primary |
Addresses
Primary practice location
5604 Pintail LN
Greenwood, IN 46143-4003
Mailing address
5604 Pintail LN
Greenwood, IN 46143-4003
Phone (812) 212-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010876 | IN | MD | Nurse Practitioner |
| 71010876A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1508450263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 PINTAIL LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461434003",
"telephone_number": "812-212-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 PINTAIL LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461434003",
"telephone_number": "812-212-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTLER",
"first_name": "CRYSTAL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71010876",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010876A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.