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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: October 18, 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
Phone(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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Krystle De La Rosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Centro Del Barrio, Inc.
18 mi
Federally Qualified Health Center (FQHC)
6315 S ZARZAMORA ST
San Antonio, TX 78211
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
NPI 1538264429 (210) 977-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Krystle De La Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystle De La Rosa reassigns Medicare benefits to El Centro Del Barrio, Inc. (San Antonio, 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 Krystle De La Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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 3 months 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.