MICHAELA ANN OUTLAW
NPI 1285506071
Nurse Practitioner - Psychiatric/Mental Health in Johnson City, TN

Q: What is Michaela Outlaw's NPI number?

The NPI number for Michaela Outlaw is 1285506071. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Q: What is Michaela Outlaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michaela Outlaw was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 22, 2025PECOS EnrolledAccepts Medicare Assignment

403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-7111(423) 431-7092 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michaela Ann Outlaw NPPES

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

MICHAELA ANN OUTLAW (NPI 1285506071) is an individual psychiatric/mental health provider in Johnson City, Tennessee, licensed in Tennessee (39567) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bristol, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285506071

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAELA ANN OUTLAW

Location Address403 N STATE OF FRANKLIN RDJohnson City, TN 37604-6034

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(423) 431-7111

Fax(423) 431-7092

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 22, 2025

Last NPPES UpdateFebruary 6, 2026

NPPES CertifiedFebruary 6, 2026

✔ NPI 1285506071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in TN · 39567✔ Licensed in VA · 0024194962

403 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Secondary Practice Location 1

Location 11505 Valley DrBristol, TN 37620-5154 · Phone (423) 534-1869

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

Michaela Ann Outlaw 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 ID7719466366

PECOS Enrollment IDI20260204002969

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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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.

MOUNTAIN STATES HEALTH ALLIANCE

Psychiatric Unit