Juanita Shawnta Outlaw, FNP-BC - Medicare Nurse Practitioner in Smithfield, NC

  1. Home
  2. Nurse Practitioner
  3. NC
  4. Smithfield
Juanita Shawnta Outlaw, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Smithfield, North Carolina. Her current practice location is 293 Bella Sq, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 724-0192.

Juanita Shawnta Outlaw is licensed to practice in North Carolina (license number 197527) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083338198.

Contact Information

Juanita Shawnta Outlaw, FNP-BC
293 Bella Sq,
Smithfield, NC 27577-8961
(252) 724-0192
Not Available

Map and Direction




Provider's Profile

Full NameJuanita Shawnta Outlaw
GenderFemale
SpecialityNurse Practitioner - Family
Location293 Bella Sq, Smithfield, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083338198
  • Provider Enumeration Date: 10/03/2022
  • Last Update Date: 01/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668844549
  • Enrollment ID: I20230203000160

Medical Identifiers

Medical identifiers for Juanita Shawnta Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083338198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5017031 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 197527 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Juanita Shawnta Outlaw allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503
Entity NameMainstreet And Kidsstreet Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144803040
PECOS PAC ID: 6901290238
Enrollment ID: O20220302000414

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juanita Shawnta Outlaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Juanita Shawnta Outlaw, FNP-BC
293 Bella Sq,
Smithfield, NC 27577-8961

Ph: (252) 724-0192		Juanita Shawnta Outlaw, FNP-BC
293 Bella Sq,
Smithfield, NC 27577-8961

Ph: (252) 724-0192

Reviews and Comments


Nurse Practitioner Nurses in Smithfield, NC

Angela Louise Wadsworth, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 514 N Brightleaf Blvd Ste 1620, Smithfield, NC 27577
Phone: 919-938-7187    Fax: 919-938-7201
Jacqueline R Costello, DNP, APRN, CPNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1519 E Booker Dairy Rd Ste B, Smithfield, NC 27577
Phone: 919-938-2144    
Mrs. Karen H Merritt, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Kellie Dr, Smithfield, NC 27577
Phone: 919-938-3749    Fax: 919-938-3795
Angela Demetrius, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 614 E Market St, Smithfield, NC 27577
Phone: 919-975-1100    
Brittany Evans Jackson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577
Phone: 919-989-2192    Fax: 919-934-0006
Mrs. Tara Denise Bush, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 707 Lassiter St, Smithfield, NC 27577
Phone: 919-209-9856    Fax: 919-209-9859

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.