GWENDOLYN SUE KRESOVSKY (NP-C) – Family Nurse Practitioner, NPI 1649465410

GWENDOLYN SUE KRESOVSKY (NP-C) is a healthcare provider. based in Columbus, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 71002463A (IN). The NPI Number for GWENDOLYN SUE KRESOVSKY (NP-C) is 1649465410

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
GWENDOLYN SUE KRESOVSKY (NP-C)
NPI
1649465410
Phone
(812) 372-8426
Address
3015 10TH ST
Enumeration Date
13 September 2007
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123733025
Graduation Year
2007 (19 years ago)
PAC ID
1658455175
Group Practice PAC ID
1052612314
Professional Enrollment ID
I20080222000143
Address ID
IN472015351CO2400XSTXX300

Contacts

Secure Messaging
gkresovsky8277@edirect.crh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

8,241 NURSE PRACTITIONER in IN

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Provider Addresses for GWENDOLYN SUE KRESOVSKY (NP-C)

  • 3015, 10th Street, Wynnton, Columbus, Muscogee County, Georgia, 31906, United States

    COLUMBUS, IN 472017090

    Phone: (812) 372-8426

    Fax: (812) 378-7777

    Type: Location

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606775383

    Phone: (812) 376-5315

    Type: Mailing

  • 2118 25TH ST STE D

    COLUMBUS, IN 472013240

    Phone: (812) 372-8281

    Fax: (812) 372-4525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $783.

Total Amount is formed as General ($783) + Research ($0) + Ownership ($0) = $783.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($228).

Total Amount

$783

General + Research + Ownership

Payments

33

Total payment records

General Amount

$783

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080222000143INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes252135$0
36415Insertion of needle into vein for collection of blood sample224139$0
99213Established patient office or other outpatient visit, 20-29 minutes152100$0
G0008Administration of influenza virus vaccine7168$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6464$0
View full utilization report →

Insurance plans in this area (ZIP 47201)

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Provider's Procedures

GWENDOLYN SUE KRESOVSKY (NP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIN81002Urinalysis, manual test7457

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052612314View full group profile
NameSpecialtyState
-IL
Physician AssistantIN
Internal Medicine, Cardiovascular Disease (Cardiology)IN
N E U R O L O G YFL
Nurse PractitionerIN
Nurse PractitionerIL
Family PracticeIN
Family PracticeIN
Physician AssistantIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for GWENDOLYN SUE KRESOVSKY (NP-C)?
GWENDOLYN SUE KRESOVSKY (NP-C) — NPI 1649465410 — is the standard way to identify this listing.
Can I rely on GWENDOLYN SUE KRESOVSKY (NP-C) being an active provider?
As of the registry snapshot, GWENDOLYN SUE KRESOVSKY (NP-C) is marked active.
What taxonomy line describes GWENDOLYN SUE KRESOVSKY (NP-C)?
For research purposes, treat GWENDOLYN SUE KRESOVSKY (NP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for GWENDOLYN SUE KRESOVSKY (NP-C)?
GWENDOLYN SUE KRESOVSKY (NP-C)'s geographic hint is Columbus, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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