Indigo Health and Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INDIGO HEALTH AND WELLNESS

Practice address

139 E 2ND St Ste U-2
Kaukauna, WI 54130-2420

Phone

(920) 796-9831

Fax

(866) 311-2371

NPI assigned

Aug 8, 2023

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Crystal Marie Peters, APNP, FNP, PMHNP-BCNPI 1548738297

Title

Owner

Phone

(920) 796-9831

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Marie Peters, FNP

  • Family Nurse Practitioner
  • Oneida, WI
  • NPI 1548738297

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1730862665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E 2ND ST STE U-2",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302420",
            "telephone_number": "920-796-9831",
            "fax_number": "866-311-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 2ND ST STE U-2",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302420",
            "telephone_number": "920-796-9831",
            "fax_number": "866-311-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-796-9831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APNP, FNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Heinkel, PA-C
• Carol Ann Higgins, P.T.A.
• Kimberly Huntley
• Laura Huss, DPT
• Nichole L Huss, LPC
• Janell R Jacques, RN
• Michelle L Jahnke, RN
• Jonathan K Jandrin, MSN, FNP-C
• Emily A Jansen
• John N Krupka DDS SC (Krupka Dental Associates)

• Psychiatric/Mental Health Nurse Practitioner in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.