Individual provider Active NPI

Crystal Sanders, APRN, FNP-C

  • Family Nurse Practitioner
  • Greencastle, IN
National Provider Identifier
1801468475
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011447A Issued in IN
Practice address
1542 S Bloomington St
Greencastle, IN 46135-2297
Phone
(765) 301-7300
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28172569A IN
Family Nurse Practitioner 363LF0000X 71011447A IN Primary

Addresses

Primary practice location

1542 S Bloomington St
Greencastle, IN 46135-2297

Mailing address

4798 E County Road 1000 S
Cloverdale, IN 46120-9020

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
I20211115000226 IN Practitioner - Nurse Practitioner 4587053525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1100 Southfield Dr
Plainfield, IN 46168-4499

5492 N Ronald Reagan Pkwy
Suite 130
Brownsburg, IN 46112-5618
Phone (317) 456-9050

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28172569AINMDRegistered Nurse
71011447AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Aug 2, 2022 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital CurrentSince Jan 6, 2022 Accepting new patients
Putnam County Hospital CurrentSince Jan 6, 2022 Accepting new patients
Putnam County Hospital CurrentSince Jan 6, 2022 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Putnam County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Aug 2, 2022 Accepting new patients
Putnam County Hospital Current Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

440 E Pat Rady Way
Bainbridge, IN 46105
Phone (765) 522-2556

51 E Market St
Cloverdale, IN 46120
Phone (765) 795-4242

309 Medic Way
#G
Greencastle, IN 46135
Phone (765) 653-2626

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

309 Medic Way
Greencastle, IN 46135
Phone (765) 301-7200

1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

1100 Southfield Dr
Ste 1100
Plainfield, IN 46168
Phone (317) 838-3434

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 10

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 1

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1801468475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 E COUNTY ROAD 1000 S",
            "city": "CLOVERDALE",
            "state": "IN",
            "postal_code": "461209020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 S BLOOMINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352297",
            "telephone_number": "765-301-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CRYSTAL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28172569A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011447A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.