Individual provider Active NPI

Krista Erin Nestlehut

  • Adult Health Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1629630900
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28232467A Issued in IN
Practice address
415 N 26TH St Ste 202
Lafayette, IN 47904-2856
Phone
(765) 607-2001
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28232467A IN
Adult Health Nurse Practitioner 363LA2200X 28232467A IN Primary

Addresses

Primary practice location

415 N 26TH St Ste 202
Lafayette, IN 47904-2856

Mailing address

415 N 26TH St Ste 202
Lafayette, IN 47904-2856
Phone (765) 607-2001

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
I20190829001246 IN Practitioner - Nurse Practitioner 3476881467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monticello Emergency Care, LLCGroup PAC ID 4183664956, 6 clinicians

Practice addresses (Care Compare)

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000
Phone (812) 825-1111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monticello Emergency Care, LLC CurrentSince May 1, 2025 Accepting new patients
Valley Oaks Health Inc CurrentSince Aug 26, 2019 Accepting new patients
Valley Oaks Health Inc CurrentSince Aug 26, 2019 Accepting new patients

Locations

7231 Solutions Ctr
Chicago, IL 60677

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Ste 202
Lafayette, IN 47904
Phone (765) 446-6596

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

Organizations & group practices 3

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1629630900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 202",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "765-607-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 202",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "765-607-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTLEHUT",
        "first_name": "KRISTA",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28232467A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28232467A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.