Cheryl Krueger, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7100349A Issued in IN

Practice address

4111 Franklin St
Michigan City, IN 46360-7803

Phone

(219) 879-5400

Fax

(219) 879-5900

NPI assigned

Sep 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1952396772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 E 1000 S",
            "city": "KOUTS",
            "state": "IN",
            "postal_code": "463479730",
            "telephone_number": "219-766-2167",
            "fax_number": "219-879-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607803",
            "telephone_number": "219-879-5400",
            "fax_number": "219-879-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "CHERYL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "7100349A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100474810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kosteskie, OT
• Rebecca Louise Kray, FNP-BC
• Stephen Kroczek, M.D.
• Abbi Danae Kroll, NP
• Michelle Lynn Krsteski, PHARMD, MS
• Mandavi Kulkarni, MD
• Jaroslaw Kuna, M.D.
• L. Rhett Fagg, D.D.S., M.S.D., PC
• La Porte County Anesthesia Associates LLC
• La Porte Home Care Services LLC

• Family Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.