Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Antrim, FNP

Individual provider Family Nurse Practitioner · NPI 1053191593

Krystal Antrim, FNP is a Nurse Practitioner in Laporte, Indiana. Qualified in 2021, 5 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

401 Newporte Blvd
Laporte, IN 46350
Phone: (219) 575-6244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F08211097 (IN)

Record details

NPI number1053191593
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice La Porte Clinic Company Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Laporte