Individual provider Active NPI

Krista Schwuchow, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1982936175
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71005350A Issued in IN
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

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312001189 IN Practitioner - Nurse Practitioner 0042484701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

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

LicenseStateTypeSpecialty
71005350AINMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Jan 28, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.