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STACEY BETH CRUIKSHANK
NPI 1487289286
Nurse Practitioner - Family in Columbus, OH

Active since March 12, 2020PECOS Enrolled
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215(614) 722-2000 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Mar 17, 2026, Dec 12, 2024 and 3 more (6 updates tracked since 2020).

About Stacey Beth Cruikshank NPPES

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

STACEY BETH CRUIKSHANK (NPI 1487289286) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.026491) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 18 additional practice locations.

NPPES Registry Identity

NPI1487289286
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY BETH CRUIKSHANK
Location Address380 BUTTERFLY GARDENS DRColumbus, OH 43215-7508
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Phone(614) 722-2000
Sole ProprietorNo
Enumeration DateMarch 12, 2020
Last NPPES UpdateApril 14, 20266 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1487289286 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 OH · APRN.CNP.026491
380 BUTTERFLY GARDENS DR, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Locations 18

Location 11125 E Main StColumbus, OH 43205-1931 · Phone (614) 722-2000
Location 226 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000
Location 33553 Cleveland AveColumbus, OH 43224-2909 · Phone (614) 722-2000
Location 4433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-2000
Location 5411 Industrial Mile RdColumbus, OH 43228-4322 · Phone (614) 722-2000
Location 6579 S Yearling RdColumbus, OH 43213-2874 · Phone (614) 722-2000
Location 74766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-2000
Location 84560 Morse Centre RdColumbus, OH 43229-6602 · Phone (614) 722-2000
Location 95070 N High StColumbus, OH 43214-1526 · Phone (614) 722-2000
Location 101405 S High StColumbus, OH 43207-1043 · Phone (614) 722-2000
Location 111777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-2000
Location 121657 Georgesville Square DrColumbus, OH 43228-3689 · Phone (614) 722-2000
Location 13882 S Hamilton RdColumbus, OH 43213-3003 · Phone (614) 722-2000
Location 14700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 152599 E. Hamilton RdColumbus, OH 43232-4323 · Phone (614) 722-2000
Location 162857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-2000
Location 171390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-2000
Location 181350 Stringtown RdGrove City, OH 43123-9743 · Phone (614) 722-2000

Other Identifiers 1

Medicaid0425843OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Beth Cruikshank is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Stacey Cruikshank reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
0.5 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
0.5 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579
Central Ohio Nutrition Center, Inc
7.7 mi
Family Medicine
648 TAYLOR RD
Gahanna, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group
NPI 1225197262 (614) 864-7225

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 43215 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

MATTHEW ERIC SHAFRON DDS
Dentist (Pediatric Dentistry)
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-5650
HOMA AMINI DDS, MS, MPH
Dentist (Pediatric Dentistry)
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-5650
SASIGARN ARUNCHAIYA BOWDEN
Pediatrics (Pediatric Endocrinology)
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-6200
MARIA D ASH MD
Pediatrics (Adolescent Medicine)
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000
ANDREW MARTIN HARPER NP
Nurse Practitioner (Family)
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000
NATIONWIDE CHILDREN'S HOSPITAL
Durable Medical Equipment & Medical Supplies
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2055
CAILIN MICHELLE HILDEBRANDT CPNP-PC
Nurse Practitioner (Pediatrics)
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000
BRITTANY BRICKMAN MSW, LSW
Social Worker
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-6353

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 Stacey Cruikshank's NPI number?

The NPI number for Stacey Cruikshank is 1487289286. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Stacey Cruikshank located?

Stacey Cruikshank practices at 380 Butterfly Gardens Dr, Columbus, OH 43215. The listed phone number is (614) 722-2000.

What is Stacey Cruikshank's specialty?

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

Is Stacey Cruikshank enrolled in Medicare?

Yes. Stacey Cruikshank is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Cruikshank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Cruikshank reassigns Medicare benefits to 3 organizations: Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH) and Central Ohio Nutrition Center, Inc (Gahanna, 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 Stacey Cruikshank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Cruikshank accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list Stacey Cruikshank 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 Stacey Cruikshank was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.