KRYSTAL GOODEN-WILLIAMS NP
NPI 1346090545
Nurse Practitioner - Family in Indianapolis, IN

Active since March 22, 2024PECOS EnrolledAccepts Medicare Assignment
2040 N SHADELAND AVE STE 130, INDIANAPOLIS, IN 46219(317) 887-7957 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2025, May 22, 2025, May 14, 2025 and 2 more (5 updates tracked since 2024).

About Krystal Gooden-williams Np NPPES

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

KRYSTAL GOODEN-WILLIAMS NP (NPI 1346090545) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (7106584A) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346090545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL GOODEN-WILLIAMSCredential: NP
Location Address2040 N SHADELAND AVE STE 130Indianapolis, IN 46219-1727
Mailing Address6422 Timber Walk DrIndianapolis, IN 46236-7725 · (317) 457-9635
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 22, 2024
Last NPPES UpdateJune 4, 20255 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1346090545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 7106584A✔ Licensed in IN · 7101658B
Also ListedRegistered NurseTaxonomy 163W00000X · License 28164153A (IN), 28164153 (IN)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 7106584A (IN)
2040 N SHADELAND AVE STE 130, Indianapolis, IN 46219

Other Names 1

Other Name (5)Krystal Lynn Williams Np

Accepted 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

Krystal Gooden-williams Np 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 ID6901324003
PECOS Enrollment IDI20250513000724
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 Reassignment

Medicare enrollment records show Krystal Gooden-williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46219 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

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

Pharmacist
2040 N SHADELAND AVE STE 130
INDIANAPOLIS, IN 46219

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 Krystal Gooden-williams's NPI number?

The NPI number for Krystal Gooden-williams is 1346090545. It was assigned to this individual provider in the NPPES registry on March 22, 2024. The provider is also known as Krystal Lynn Williams Np.

Where is Krystal Gooden-williams located?

Krystal Gooden-williams practices at 2040 N Shadeland Ave Ste 130, Indianapolis, IN 46219. The listed phone number is (317) 887-7957.

What is Krystal Gooden-williams's specialty?

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

Is Krystal Gooden-williams enrolled in Medicare?

Yes. Krystal Gooden-williams 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 organization bills Medicare for Krystal Gooden-williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Gooden-williams reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). The 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 Krystal Gooden-williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Gooden-williams accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare) and Cigna Healthcare list Krystal Gooden-williams 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.

Is Krystal Gooden-williams affiliated with any hospitals?

According to CMS data, Krystal Gooden-williams is affiliated with Community Hospital East.

When was this NPI record last updated?

The NPPES record for Krystal Gooden-williams was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.