INDIGO HEALTH AND WELLNESS
NPI 1730862665
Nurse Practitioner - Psychiatric/Mental Health in Kaukauna, WI

Active since August 08, 2023
139 E 2ND ST STE U-2, KAUKAUNA, WI 54130(920) 796-9831(866) 311-2371 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Aug 9, 2023 (2 updates tracked since 2023).

About Indigo Health And Wellness NPPES

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

INDIGO HEALTH AND WELLNESS (NPI 1730862665) is a healthcare organization registered as a psychiatric/mental health in Kaukauna, Wisconsin and active in the NPI registry since August 2023. The organization lists Crystal Marie Peters, Owner, as its authorized official.

NPPES Registry Identity

NPI1730862665
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINDIGO HEALTH AND WELLNESS
Location Address139 E 2ND ST STE U-2Kaukauna, WI 54130-2420
Mailing Address139 E 2nd St Ste U-2Kaukauna, WI 54130-2420 · (920) 796-9831 · Fax (866) 311-2371
Fax(866) 311-2371
Organization SubpartNo
Authorized OfficialCrystal Marie PetersOwner · (920) 796-9831
Enumeration DateAugust 8, 2023
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1730862665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
139 E 2ND ST STE U-2, Kaukauna, WI 54130

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
139 E 2ND ST STE U-2
KAUKAUNA, WI 54130

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 Indigo Health And Wellness's NPI number?

The NPI number for Indigo Health And Wellness is 1730862665. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Indigo Health And Wellness located?

Indigo Health And Wellness is located at 139 E 2nd St Ste U-2, Kaukauna, WI 54130. The listed phone number is (920) 796-9831.

What is Indigo Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Indigo Health And Wellness was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.