Individual provider Active NPI

Gwendolyn Sue Kresovsky, NP-C

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1649465410
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002463A Issued in IN
Practice address
2118 25TH St Ste D
Columbus, IN 47201-3240
Phone
(812) 372-8281
Fax
(812) 372-4525
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71002463A IN
Family Nurse Practitioner 363LF0000X 71002463A IN Primary

Addresses

Primary practice location

2118 25TH St Ste D
Columbus, IN 47201-3240

Mailing address

PO Box 800
Franklin, IN 46131-0800
Phone (317) 736-3300

Other practice location 1

1155 W Jefferson St
Franklin, IN 46131-2730
Phone (317) 736-6133

Other practice location 2

3000 S State Road 135
Greenwood, IN 46143-9825
Phone (317) 535-1876

Other identifiers 2

IdentifierTypeStateIssuer
000000986921OtherINANTHEM PIN
201154020MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkresovsky8277@edirect.crh.org Direct

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
I20080222000143 IN Practitioner - Nurse Practitioner 1658455175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2118 25TH St
Columbus, IN 47201-3240

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002463AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Jan 1, 2016 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Jan 1, 2016 Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2326 18th St
Ste 120
Columbus, IN 47201
Phone (812) 372-1570

3015 10th St
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste H
Columbus, IN 47201
Phone (812) 375-3660

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3201 Middle Rd
Columbus, IN 47203
Phone (812) 372-4956

2118 25th St
Ste D
Columbus, IN 47201
Phone (812) 372-8281

2118 25th St
Ste J
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste E
Columbus, IN 47201
Phone (812) 373-2700

2118 25th St
Ste C
Columbus, IN 47201
Phone (812) 372-8426

Interoperability endpoints

  • Direct secure messaging: gkresovsky8277@edirect.crh.org

Organizations & group practices 4

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.

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1649465410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461310800",
            "telephone_number": "317-736-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 25TH ST STE D",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013240",
            "telephone_number": "812-372-8281",
            "fax_number": "812-372-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312730",
            "country_code": "US",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439825",
            "country_code": "US",
            "telephone_number": "317-535-1876",
            "fax_number": "317-535-5049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESOVSKY",
        "first_name": "GWENDOLYN",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71002463A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002463A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000986921",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201154020",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkresovsky8277@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "3015 10th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472017090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.