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

Nathaniel Stultz, CNP

Individual provider Nurse Practitioner · NPI 1366971103

Nathaniel Stultz, CNP is a Nurse Practitioner in Mount Vernon, Ohio. Qualified in 2017, 9 years ago. Practices with Knox Emergency Services LLC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
9
Licensed in
IN, OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1330 Coshocton Ave
Mount Vernon, OH 43050-1495
Phone: (740) 393-9714
Show map & directions

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

Additional practice locations (2)

  • 129 Old Bay Dr, Pataskala, OH 43062-7690 — (614) 359-8706
  • 500 S Cleveland Ave, Westerville, OH 43081-8971 — (380) 898-4400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 020957 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 71012737A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71012737A (IN)

Record details

NPI number1366971103
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedJune 6, 2017
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address129 Old Bay Dr, Pataskala, OH 43062-7690

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Knox Emergency Services Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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