Active NPI
Krista Schwuchow, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71005350A
- Practice address
- 3403 E Raymond St
Indianapolis, IN 46203-4744 - Phone
- (317) 957-2000
- Fax
- (317) 957-2050
- NPI assigned
- Feb 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 71005350A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71005350A | IN | Primary |
Addresses
Primary practice location
3403 E Raymond St
Indianapolis, IN 46203-4744
Mailing address
3908 Meadows Dr
Indianapolis, IN 46205-3114
Phone (317) 957-2150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-8909
2855 N Keystone Ave
Indianapolis, IN 46218-2790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005350A | IN | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthnet, Inc. | Current | Accepting new patients |
Locations
811 W 2nd St
Bloomington, IN 47403
Phone (812) 332-1401
2340 E 10th St
Indianapolis, IN 46201
Phone (317) 633-7360
3908 Meadows Dr
Indianapolis, IN 46205
Phone (317) 579-2275
1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769
2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760
1801 Senate Blvd
Ste 310
Indianapolis, IN 46202
Phone (317) 957-2070
2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218
3401 E Raymond St
#0
Indianapolis, IN 46203
901 Shelby St
Indianapolis, IN 46203
Phone (317) 488-2040
3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000
6020 Crawfordsville Rd
Ste 102
Speedway, IN 46224
Phone (317) 957-2070
Interoperability endpoints
- krista.schwuchow@hn.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1780634964
-
- Adult Mental Health Clinic/Center
- Lawrenceburg, IN
- NPI 1891102497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1982936175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 MEADOWS DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053114",
"telephone_number": "317-957-2150",
"fax_number": "317-957-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 E RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462034744",
"telephone_number": "317-957-2000",
"fax_number": "317-957-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWUCHOW",
"first_name": "KRISTA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "IN",
"license": "71005350A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71005350A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.