NATHANIEL STULTZ (CNP) – Family Nurse Practitioner, NPI 1366971103

NATHANIEL STULTZ (CNP) is a healthcare provider. based in Canal winchester, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 71012737A (IN). The NPI Number for NATHANIEL STULTZ (CNP) is 1366971103

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL STULTZ (CNP)
NPI
1366971103
Phone
(614) 359-8706
Address
185 GROVEPORT PIKE UNIT 15C
Enumeration Date
6 June 2017
Last Update Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403939000
Graduation Year
2017 (9 years ago)
PAC ID
3173893476
Group Practice PAC ID
0042113862
Professional Enrollment ID
I20170719002451
Address ID
OH430501440MO1330XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for NATHANIEL STULTZ (CNP)

  • 185 GROVEPORT PIKE UNIT 15C

    CANAL WINCHESTER, OH 431102034

    Phone: (614) 359-8706

    Type: Mailing

  • 129 Old Bay Dr

    Pataskala, OH 430627690

    Phone: (614) 359-8706

    Type: Location

  • 500 S Cleveland Ave

    Westerville, OH 430818971

    Phone: (380) 898-4400

    Type: Location

  • 1330 COSHOCTON AVE

    MOUNT VERNON, OH 430501495

    Phone: (740) 393-9714

    Type: Location

  • Mount Carmel Saint Ann's Hospital, 500, South Cleveland Avenue, Westerville, Sharon, Franklin, Ohio, 43081, United States

    WESTERVILLE, OH 430818971

    Phone: (614) 898-4400

    Type: Location

  • 129 OLD BAY DR

    PATASKALA, OH 430627690

    Phone: (614) 359-8706

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-07-19

PECOS data refreshed: 2026-05-27

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
I20170719002451INurse PractitionerOHTBD

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
99285Emergency department visit with high level of medical decision making176168$0
99284Emergency department visit with moderate level of medical decision making139133$0
99291Critical care, first 30-74 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 43110)

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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: 0042113862View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicineNC
Emergency MedicineOH
-LA
Emergency MedicineOH

Reviews

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Frequently asked questions

Does NATHANIEL STULTZ (CNP) have a public NPI I can cite?
Public records show NATHANIEL STULTZ (CNP) under NPI 1366971103.
Does the public listing show NATHANIEL STULTZ (CNP) as active?
NATHANIEL STULTZ (CNP)'s NPI record reflects an active status in NPPES.
What services align with NATHANIEL STULTZ (CNP)'s listing?
NATHANIEL STULTZ (CNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NATHANIEL STULTZ (CNP) tied to Canal Winchester, Ohio?
If you are local to Canal Winchester, Ohio, NATHANIEL STULTZ (CNP) may be relevant to your search.
Who maintains NATHANIEL STULTZ (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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