KRYSTYL MCGUIRE FNP
NPI 1023668142
Nurse Practitioner - Family in Sugar Land, TX

Active since September 19, 2019PECOS EnrolledAccepts Medicare Assignment
49.44/100
CMS Quality Rating
15423 CREEK BEND DR, SUGAR LAND, TX 77478(281) 240-3773 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Oct 14, 2020, Sep 1, 2020 and 1 more (4 updates tracked since 2019).

About Krystyl Mcguire Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTYL MCGUIRE FNP (NPI 1023668142) is an individual family provider in Sugar Land, Texas, licensed in Texas (AP144854) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023668142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTYL MCGUIRECredential: FNP
Location Address15423 CREEK BEND DRSugar Land, TX 77478-4561
Mailing Address15423 Creek Bend DrSugar Land, TX 77478-4561
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 19, 2019
Last NPPES UpdateMay 15, 20244 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1023668142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP144854
Also ListedRegistered NurseTaxonomy 163W00000X · License 845506 (TX)
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP144854 (TX)
15423 CREEK BEND DR, Sugar Land, TX 77478

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Krystyl Mcguire Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375963812
PECOS Enrollment IDI20201021002257
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
29,295 services51 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,100 services70 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
531 services164 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
145 services17 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
133 services54 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
126 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

49.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.93
Improvement Activities40
Cost14.09

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers124 claims124 services$33.27 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers41 claims41 services$73.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers40 claims118 services$28.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers61 claims348 services$15.92 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers33 claims174 services$12.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers94 claims94 services$45.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Sleep Specialist, PhD
15423 CREEK BEND DR
SUGAR LAND, TX 77478
Nurse Practitioner (Family)
15423 CREEK BEND DR
SUGAR LAND, TX 77478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystyl Mcguire's NPI number?

The NPI number for Krystyl Mcguire is 1023668142. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Krystyl Mcguire located?

Krystyl Mcguire practices at 15423 Creek Bend Dr, Sugar Land, TX 77478. The listed phone number is (281) 240-3773.

What is Krystyl Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Krystyl Mcguire enrolled in Medicare?

Yes. Krystyl Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Krystyl Mcguire accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare and UnitedHealthcare list Krystyl Mcguire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystyl Mcguire was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.