KRYSTAL LAUREN RAQUET - NPI 1306304902 - Nurse Practitioner in San Antonio, TX

Q: What is Krystal Raquet's NPI number?

The NPI number for Krystal Raquet is 1306304902. It was assigned to this individual provider in the NPPES registry on March 4, 2019. The provider is also known as Krystal Lauren Salas.

Q: What is Krystal Raquet'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 Krystal Raquet was last updated on May 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Krystal Lauren Raquet NPPES

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

KRYSTAL LAUREN RAQUET (NPI 1306304902) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1053028) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306304902

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRYSTAL LAUREN RAQUET

Location Address10410 DOHERTY SPGSan Antonio, TX 78255-1041

Mailing Address10410 Doherty SpgSan Antonio, TX 78255-1041 · (210) 395-4520 · Fax (210) 395-4521

Phone(210) 395-4520

Fax(210) 395-4521

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 4, 2019

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1306304902 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

License✔ Licensed in TX · 1053028

10410 DOHERTY SPG, San Antonio, TX 78255

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Other Names 1

Former Name (1)Krystal Lauren Salas

Secondary Practice Location 1

Location 111306 Sir Winston St Bldg FSan Antonio, TX 78216-2467 · Phone (210) 366-0049

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Lauren Raquet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284104902

PECOS Enrollment IDI20260522002178

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 78255 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.

Other Providers at the Same Location NPPES 6

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

LETICIA LINDA JIMENEZ LCSW-S

Social Worker (Clinical)