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KATELYNN CRULL
NPI 1114883386
Nurse Practitioner - Family in Fort Wayne, IN

Active since December 31, 2025PECOS EnrolledAccepts Medicare Assignment
3512 STELLHORN RD, FORT WAYNE, IN 46815(855) 743-2247 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Dec 31, 2025 (2 updates tracked since 2025).

About Katelynn Crull NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYNN CRULL (NPI 1114883386) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71017639A) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114883386
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYNN CRULL
Location Address3512 STELLHORN RDFort Wayne, IN 46815-4631
Mailing AddressPo Box 1431, Dept 400Charlotte, NC 28201-1431
Phone(855) 743-2247
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 31, 2025
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1114883386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71017639A
3512 STELLHORN RD, Fort Wayne, IN 46815
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelynn Crull is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355823220
PECOS Enrollment IDI20260302000877
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Katelynn Crull reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eventus Ecs, Inc
108 mi
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana enrollment
  • 210 clinicians in this Medicare group
NPI 1073353496 (855) 743-2247
Extended Care Specialists, Inc
118 mi
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 233 clinicians in this Medicare group
NPI 1134146079 (855) 743-2247
Eventus Ecs - Ohio LLC
127 mi
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Indiana enrollment
  • 150 clinicians in this Medicare group
NPI 1972321842 (855) 743-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LHYRA DAWIS MAYORALGO PT
Contractor
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CHANEL JONES NP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
HAMUTYINEI H MAMUTSE
Nurse Practitioner (Psychiatric/Mental Health)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
ZEINAB HASSAN NP
Nurse Practitioner (Gerontology)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA ROMINES
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
CORTNEY WILCOX FNP
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
LINDA D WOENKER OT
Occupational Therapist
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081
MRS. JODI LYNN GUY FNP-C
Nurse Practitioner (Family)
3512 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 483-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelynn Crull's NPI number?

The NPI number for Katelynn Crull is 1114883386. It was assigned to this individual provider in the NPPES registry on December 31, 2025.

Where is Katelynn Crull located?

Katelynn Crull practices at 3512 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (855) 743-2247.

What is Katelynn Crull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katelynn Crull enrolled in Medicare?

Yes. Katelynn Crull is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katelynn Crull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelynn Crull reassigns Medicare benefits to 3 organizations: Eventus Ecs, Inc (Indianapolis, IN), Extended Care Specialists, Inc (Merrillville, IN) and Eventus Ecs - Ohio LLC (Hilliard, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelynn Crull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelynn Crull accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Katelynn Crull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelynn Crull was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.