KRISTA RENEE QUALLS NP
NPI 1245747351
Nurse Practitioner - Primary Care in Fort Worth, TX
About Krista Renee Qualls Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTA RENEE QUALLS NP (NPI 1245747351) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP136152) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Krista Renee Qualls Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Krista Qualls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Richland Hills, TX 76182
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Krista Qualls's NPI number?
The NPI number for Krista Qualls is 1245747351. It was assigned to this individual provider in the NPPES registry on January 10, 2018.
Where is Krista Qualls located?
Krista Qualls practices at 1000 Lipscomb St Ste 110, Fort Worth, TX 76104. The listed phone number is (817) 348-8600.
What is Krista Qualls's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Krista Qualls enrolled in Medicare?
Yes. Krista Qualls 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.
Which organization bills Medicare for Krista Qualls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krista Qualls reassigns Medicare benefits to Restoration Integrated Health PLLC (North Richland Hills, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krista Qualls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krista Qualls accept?
Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Krista Qualls 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 Krista Qualls was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Krista Renee Qualls, NP · NPI 1245747351
Primary Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since January 10, 2018.
## Identity
- **NPI:** 1245747351 (Entity type: Individual)
- **Enumerated:** January 10, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AP136152 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 LIPSCOMB ST STE 110, Fort Worth, TX 76104-3181
- **Phone:** (817) 348-8600 · **Fax:** (817) 348-8602
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Restoration Integrated Health PLLC (NPI 1326895392, North Richland Hills, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1245747351) · Data from the CMS NPPES public registry.