KHALILAH KRYSTAL LARUE CNP
NPI 1255578548
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH
About Khalilah Krystal Larue Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHALILAH KRYSTAL LARUE CNP (NPI 1255578548) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Georgia (RN305465) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2008).
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 (PECOS)
Khalilah Krystal Larue Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Khalilah Larue reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43219
- Reassigned Medicare billing, Ohio enrollment
Cumming, GA 30040
- Reassigned Medicare billing, Georgia enrollment
- 65 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 2
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 43215 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Khalilah Larue's NPI number?
The NPI number for Khalilah Larue is 1255578548. It was assigned to this individual provider in the NPPES registry on January 8, 2009.
Where is Khalilah Larue located?
Khalilah Larue practices at 16 W Long St, Columbus, OH 43215. The listed phone number is (614) 225-0990.
What is Khalilah Larue's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Khalilah Larue enrolled in Medicare?
Yes. Khalilah Larue is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Khalilah Larue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khalilah Larue reassigns Medicare benefits to 2 organizations: Larue Psychiatric Services LLC (Columbus, OH) and Georgia Mountains Community Services (Cumming, GA). Each 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 Khalilah Larue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khalilah Larue accept?
Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Khalilah Larue 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 Khalilah Larue was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Khalilah Krystal Larue, CNP · NPI 1255578548
Psychiatric/Mental Health physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since January 8, 2009.
## Identity
- **NPI:** 1255578548 (Entity type: Individual)
- **Enumerated:** January 8, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN305465 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 16 W LONG ST, Columbus, OH 43215-2815
- **Phone:** (614) 225-0990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Larue Psychiatric Services LLC (NPI 1396276432, Columbus, OH); Georgia Mountains Community Services (NPI 1063522035, Cumming, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** August 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255578548) · Data from the CMS NPPES public registry.