Krystal Outlaw, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1058470 Issued in TX

Practice address

1855 Gattis School Rd
Round Rock, TX 78664-7428

Phone

(866) 389-2727

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IA, CA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concertocare Medical Group of California, P.C.

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1922777259
  Medicare reassignment NPD
• Iknow CPR and More LLC

  • Continuing Education/Staff Development Registered Nurse
  • Mansfield, TX
  • NPI 1417608852
  NPD Authorized official
• Outlaw Health Services, LLC

  • Family Medicine Physician
  • Royse City, TX
  • NPI 1154193498
  NPD Authorized official
• After Hours Eclinic

  • Primary Care Clinic/Center
  • Cheyenne, WY
  • NPI 1275267106
  NPD (past) Authorized official
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842
  NPD
• Centrum Health Care Service Inc

  dba Solaris Home Health

  • Home Health Agency
  • Decatur, TX
  • NPI 1841421336
  NPD (past)
• Rippl Care PC of Washington Inc

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1427767391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1831715614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 CANNON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 GATTIS SCHOOL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647428",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "KRYSTAL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "877529",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1058470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Marlene Ott, CRNA
• Otto Bock Orthopedic Services LLC
• Jeanne Ramsey Otto
• Sherry Dayne Otto, M.ED., LPC
• Andrew Shayne Outlaw, MD
• Ovations Healthcare Services, Inc. (New Era Home Healthcare Services, Inc.)
• Ovations Healthcare Services, Inc. (New Era HomeCare Solutions Inc)
• Michelle Nix Overman, LMFT
• Edmond W Owen Jr., M.D.
• Graves T Owen, MD

• Family Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.