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

Q: 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.

Q: What is Stacey Cruikshank's specialty?

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

Q: 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 4 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.

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: August 16, 2026.

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

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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.

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

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Other Identifiers 1

Medicaid0425843OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)