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CRYSTAL STUTLER FNP
NPI 1508450263
Nurse Practitioner - Family in Greenwood, IN

Active since February 23, 2021Opted out of Medicare · through Jul 1, 2027
5604 PINTAIL LN, GREENWOOD, IN 46143(812) 212-2755 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Sep 14, 2021, Feb 23, 2021 (3 updates tracked since 2021).

About Crystal Stutler Fnp NPPES

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

CRYSTAL STUTLER FNP (NPI 1508450263) is an individual family provider in Greenwood, Indiana, licensed in Indiana (71010876A) and active in the NPI registry since February 2021. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508450263
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL STUTLERCredential: FNP
Location Address5604 PINTAIL LNGreenwood, IN 46143-4003
Mailing Address5604 Pintail LnGreenwood, IN 46143-4003 · (812) 212-2755
Phone(812) 212-2755
Sole ProprietorNo
Enumeration DateFebruary 23, 2021
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1508450263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71010876A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71010876 (IN)
5604 PINTAIL LN, Greenwood, IN 46143
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Crystal Stutler Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Crystal Stutler's NPI number?

The NPI number for Crystal Stutler is 1508450263. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Crystal Stutler located?

Crystal Stutler practices at 5604 Pintail Ln, Greenwood, IN 46143. The listed phone number is (812) 212-2755.

What is Crystal Stutler's specialty?

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

Is Crystal Stutler enrolled in Medicare?

No. Crystal Stutler has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Crystal Stutler was last updated on March 10, 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.