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CRYSTAL SUTTON
NPI 1619371119
Nurse Practitioner - Family in Fort Wayne, IN

Active since October 14, 2014
2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5431 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Jul 11, 2018, Jun 21, 2016 (3 updates tracked since 2016).

About Crystal Sutton NPPES

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

CRYSTAL SUTTON (NPI 1619371119) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71005316A) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1619371119
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL SUTTON
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address2121 Lake AveFort Wayne, IN 46805-5100 · (260) 426-5431
Phone(260) 426-5431
Sole ProprietorNo
Enumeration DateOctober 14, 2014
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1619371119 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 · 71005316A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28186563A (IN)
2121 LAKE AVE, Fort Wayne, IN 46805
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Other Identifiers 2

Medicaid201276940IN
Medicaid0120129OH

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.

TAMMY MOEHLE
Registered Nurse (Oncology)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. CALEB ANDREW MOSSBURG PHARMD
Pharmacist
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. ASHLEY M FULTON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
HANNAH DULINSKY RN
Registered Nurse (Home Health)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 460-1445
DANIELLE SCHULTZ
Registered Nurse
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. IAN H. COOK M.D.
Surgery
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805
Allen County (260) 426-5431
SCOTT KRUSE
Social Worker (Clinical)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
MONICA JANE HALL
Registered Nurse (General Practice)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 456-0543

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 Sutton's NPI number?

The NPI number for Crystal Sutton is 1619371119. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Where is Crystal Sutton located?

Crystal Sutton practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Crystal Sutton's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Sutton was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.