Crystal Wiles

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28178259A Issued in IN

Practice address

6835 E Southport Rd Ste D
Indianapolis, IN 46237-9714

Phone

(317) 759-1843

Fax

(833) 305-2374

NPI assigned

May 21, 2015

Last updated

Jan 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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dragonfly Primary Care LLCGroup PAC ID 9234535568, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
• Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128
• Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24338/brand/1/csg/1/fhir/r4

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.

• Dragonfly Primary Care LLC

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1033782156
  Medicare reassignment Care Compare group NPD Authorized official
• Oliver Family Healthcare PC

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1083667653
  Medicare reassignment NPD
• Psychiatric Management Services

  • Psychiatry Physician
  • Anderson, IN
  • NPI 1942677281
  Medicare reassignment NPD
• Dragonfly Advanced Wound Care

  • Clinic/Center
  • Indianapolis, IN
  • NPI 1093427700
  NPD
• Eagle Creek Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1316715105
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1336119478
  Care Compare affiliation
• Community Hospital South, Inc.

  dba Community Hospital South

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1235109778
  Care Compare affiliation
• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health Indianapolis Orthopedic Hospital

  • General Acute Care Hospital
  • Carmel, IN
  • NPI 1376214981
  Care Compare affiliation
• Franciscan Health Indianapolis & Mooresville

  dba Franciscan Health - Indianapolis

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1386749893
  Care Compare affiliation

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1831578970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 VALLEY LAKE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-759-1843",
            "fax_number": "833-305-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28178259A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INDIANAPOLIS",
            "affiliation": "N",
            "address_1": "6835 E Southport Rd Ste D",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462379714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wildflower Physical Therapy & Wellness
• Michael Walter Wildman, N.D
• Sarah J. Wildman, PA
• Simona L Wildman, NP
• David James Wildt, M.D.
• Wiley Pediatric Dentistry, LLC (Speedway Pediatric Dentistry)
• Alexix Wiley
• Ashley Dawn Wiley, RBT
• Dillon T Wiley, DDS, MSD
• Elizabeth Wiley

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.