KRYSTLE MCCULLOUGH MSN, APRN, FNP-C
NPI 1417536582
Nurse Practitioner - Family in Knoxville, TN

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
103 MIDLAKE DR, KNOXVILLE, TN 37918(865) 687-7704 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2023, Nov 4, 2022, Aug 24, 2021 and 2 more (5 updates tracked since 2021).

About Krystle Mccullough Msn, Aprn, Fnp-c NPPES

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

KRYSTLE MCCULLOUGH MSN, APRN, FNP-C (NPI 1417536582) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (29033) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417536582
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTLE MCCULLOUGHCredential: MSN, APRN, FNP-C
Location Address103 MIDLAKE DRKnoxville, TN 37918-3002
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (833) 908-0998
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2021
Last NPPES UpdateJanuary 17, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1417536582 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 TN · 29033
103 MIDLAKE DR, Knoxville, TN 37918

Secondary Practice Locations 2

Location 12575 Willow Point Way Ste 101Knoxville, TN 37931-3163 · Phone (865) 313-2160
Location 23118 Alcoa HwyKnoxville, TN 37920-4791 · Phone (865) 314-7125

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krystle Mccullough Msn, Aprn, Fnp-c 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 ID4082018114
PECOS Enrollment IDI20210811000930
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 Reassignments

2

Medicare enrollment records show Krystle Mccullough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
103 MIDLAKE DR, UPPER LEVEL
Knoxville, TN 37918
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
Adult Medicine
3118 ALCOA HWY
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 20 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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
217 services205 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
83 services77 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
52 services48 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
52 services12 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
43 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37918 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.

Other Providers at the Same Location NPPES 16

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

Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Nurse Practitioner (Family)
103 MIDLAKE DR
KNOXVILLE, TN 37918
Family Medicine
103 MIDLAKE DR, UPPER LEVEL
KNOXVILLE, TN 37918
Family Medicine
103 MIDLAKE DR, LOWER LEVEL
KNOXVILLE, TN 37918
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Family Medicine
103 MIDLAKE DR
KNOXVILLE, TN 37918
Social Worker (Clinical)
103 MIDLAKE DR
KNOXVILLE, TN 37918

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 Mccullough's NPI number?

The NPI number for Krystle Mccullough is 1417536582. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Krystle Mccullough located?

Krystle Mccullough practices at 103 Midlake Dr, Knoxville, TN 37918. The listed phone number is (865) 687-7704.

What is Krystle Mccullough's specialty?

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

Is Krystle Mccullough enrolled in Medicare?

Yes. Krystle Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Krystle Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystle Mccullough reassigns Medicare benefits to 2 organizations: Summit Medical Group, PLLC (Knoxville, TN) and National Physicians PC (Knoxville, TN). 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 Krystle Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystle Mccullough accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Krystle Mccullough 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 Mccullough was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.