Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS KRYSTLE NICOLE DE LA ROSA NP-C
NPI 1366738015
Nurse Practitioner - Family in Converse, TX

Active since June 21, 2011PECOS Enrolled
10419 BULWARK PEAK, CONVERSE, TX 78109(617) 416-8139 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2019, Nov 20, 2015 (2 updates tracked since 2015).

About Miss Krystle Nicole De La Rosa Np-c NPPES

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

MISS KRYSTLE NICOLE DE LA ROSA NP-C (NPI 1366738015) is an individual family provider in Converse, Texas, licensed in Texas (793780) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366738015
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KRYSTLE NICOLE DE LA ROSACredential: NP-C
Location Address10419 BULWARK PEAKConverse, TX 78109-1988
Mailing Address10419 Bulwark PeakConverse, TX 78109-1988 · (617) 416-8139
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
NPI 1366738015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 793780
10419 BULWARK PEAK, Converse, TX 78109

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 (PECOS)

Miss Krystle Nicole De La Rosa Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 78109 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.

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 Krystle De La Rosa's NPI number?

The NPI number for Krystle De La Rosa is 1366738015. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Krystle De La Rosa located?

Krystle De La Rosa practices at 10419 Bulwark Peak, Converse, TX 78109. The listed phone number is (617) 416-8139.

What is Krystle De La Rosa's specialty?

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

Is Krystle De La Rosa enrolled in Medicare?

Yes. Krystle De La Rosa is registered in the Medicare PECOS enrollment system.

What insurance does Krystle De La Rosa accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Krystle De La Rosa 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 Krystle De La Rosa was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.