Individual provider Active NPI

Crystal M. Trabel

  • Nurse Practitioner
  • Hicksville, OH
National Provider Identifier
1912480039
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.023623 Issued in OH
Practice address
208 Columbus St
Hicksville, OH 43526-1299
Phone
(419) 542-6692
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008632A IN
Nurse Practitioner 363L00000X APRN.CNP.023623 OH Primary

Addresses

Primary practice location

208 Columbus St
Hicksville, OH 43526-1299

Mailing address

208 Columbus St
Hicksville, OH 43526-1299
Phone (419) 542-6692

Other practice location 1

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-2297

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystal.trabel@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181031001753 OH Practitioner - Nurse Practitioner 8820341340 Reassigns benefits to 2 organizations
I20190124000627 IN Practitioner - Nurse Practitioner 8820341340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paulding County Hospital Physician ServicesGroup PAC ID 8820983893, 17 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080

2512 E Dupont Rd
Fort Wayne, IN 46825-1609

2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 434-6076

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-2297

7938 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-8583

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7952 W Jefferson Blvd
The Orthopedic Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-2999

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2836

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-6105

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 969-7280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008632AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paulding County Hospital Physician Services CurrentSince May 2, 2025 Accepting new patients
Lutheran Medical Group LLC Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jan 1, 2019 Accepting new patients
Sound Physicians of Indiana, LLC Nurse Practitioner CurrentSince Sep 21, 2019 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Sep 21, 2019 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Sep 21, 2019 Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692

208 Columbus St
Ofc
Hicksville, OH 43526

1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

Interoperability endpoints

  • Direct secure messaging: crystal.trabel@lutheranhealthnetwork.cernerdirect.com

Organizations & group practices 6

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 5

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1912480039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261299",
            "telephone_number": "419-542-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS ST",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261299",
            "telephone_number": "419-542-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7916 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-432-2297",
            "fax_number": "260-434-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRABEL",
        "first_name": "CRYSTAL",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008632A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.trabel@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7916 W Jefferson Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hicksville, OH

Sources for this page

Verify at the official NPI Registry.