Katelynn Crull
NPI 1114883386ActiveIndividual· Nurse Practitioner, Family· Fort Wayne, IN
Nurse Practitioner, Family with Extended Care Specialists, Inc and 1 other group, practicing in Fort Wayne, Indiana. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1114883386 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 31, 2025 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 71017639A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Extended Care Specialists, IncMerrillville, IN · 312 clinicians
- Eventus Ecs, IncIndianapolis, IN · 231 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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