NICOLE SRUTOWSKI
NPI 1881205755
Nurse Practitioner - Family in Lafayette, IN

Q: What is Nicole Srutowski's NPI number?

The NPI number for Nicole Srutowski is 1881205755. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Q: What is Nicole Srutowski'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 Nicole Srutowski was last updated on August 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment

3750 LANDMARK DR STE B, LAFAYETTE, IN 47905(765) 838-4100 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nicole Srutowski NPPES

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

NICOLE SRUTOWSKI (NPI 1881205755) is an individual family provider in Lafayette, Indiana, licensed in Indiana (71010257A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881205755

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE SRUTOWSKI

Location Address3750 LANDMARK DR STE BLafayette, IN 47905-6652

Mailing Address3750 Landmark Dr Ste BLafayette, IN 47905-6652

Phone(765) 838-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 13, 2020

NPPES CertifiedAugust 13, 2020

✔ NPI 1881205755 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 IN · 71010257A

3750 LANDMARK DR STE B, Lafayette, IN 47905

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Secondary Practice Locations 2

Location 15165 McCarty LnLafayette, IN 47905-8764 · Phone (765) 448-8000

Location 21701 S Creasy LnLafayette, IN 47905-4972 · Phone (765) 502-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Srutowski is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981022613

PECOS Enrollment IDI20200914000366

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

107 services104 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services29 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151312

Location720 South Sixth StMonticello, IN 47960 · White County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 5

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

NICHOLE E. TOLLE CST

Specialist/Technologist, Other (Surgical Assistant)