Krystal Outlaw, FNP-C in Round Rock, TX - Medicare Nurse Practitioner

Krystal Outlaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Round Rock, Texas. Her current practice location is 1855 Gattis School Rd, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Krystal Outlaw is licensed to practice in Texas (license number 1058470) 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 1831715614.

Contact Information

	Krystal Outlaw, FNP-C
	1855 Gattis School Rd, Round Rock, TX 78664-7428
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Krystal Outlaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1855 Gattis School Rd, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831715614
Provider Enumeration Date: 06/17/2020
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 4183099054
Enrollment ID: I20230406000023

Medical Identifiers

Medical identifiers for Krystal Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831715614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	877529 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	1058470 (Texas)	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. Krystal Outlaw allows following entities to bill medicare on her behalf.

Entity Name	Outlaw Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154037190 PECOS PAC ID: 3274908140 Enrollment ID: O20230406000019

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. Krystal 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 Address	Practice Location Address
Krystal Outlaw, FNP-C 3140 Cannon Dr, Mansfield, TX 76063-5533 Ph: () -	Krystal Outlaw, FNP-C 1855 Gattis School Rd, Round Rock, TX 78664-7428 Ph: (866) 389-2727

Reviews and Comments

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Krystal Outlaw, FNP-C - Medicare Nurse Practitioner in Round Rock, TX