Krista Marie Nastaj, MSN, RN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

28258470A Issued in IN

Practice address

414 Lincolnway
La Porte, IN 46350-3350

Phone

(219) 326-5400

NPI assigned

Apr 16, 2020

Last updated

Sep 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Marie Van Baren Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10017457
• Direct secure messaging: krista.nastaj.1@10112.direct.athenahealth.com

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.

• DLP Twin County Physician Practices LLC

  dba Twin County Sleep Center

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Galax, VA
  • NPI 1962078527
  Medicare reassignment NPD
• DLP Twin County Physician Practices LLC

  dba Twin County Obstetrics & Gynecology

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925
  NPD
• DLP Twin County Physician Practices LLC

  dba Pediatric Family Care Center

  • Pediatrics Physician
  • Galax, VA
  • NPI 1619243300
  NPD
• Lincoln Pediatrics

  • Pediatrics Physician
  • La Porte, IN
  • NPI 1447404546
  NPD (past)
• DLP Twin County Physician Practices LLC

  dba Galax Family Care Center

  • Family Medicine Physician
  • Galax, VA
  • NPI 1235404047
  NPD (past)

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1639799935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 INNES ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033516",
            "telephone_number": "616-633-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503350",
            "telephone_number": "219-326-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTAJ",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28258470A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "VAN BAREN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elena C Mrozinske, LCSW
• Hester J W Muller, MD
• John J Murphy, M.D.
• Myeyedr Optometry of Indiana, LLC (MyEyeDr.)
• Namaste Holistic Counseling, LLC
• Denise Ndukwu, LMHCA
• Neil Wangstrom MD PC
• Mark Albert Nelson, MD
• Nephrology Inc
• Adrianna K. Neri, MA, LCPC, LMHC

• Pediatric Nurse Practitioner in La Porte, IN
• Providers in La Porte, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.