1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Nurse Practitioner
  6. NPI Profile

KRYSTLE LACOLE OLIVER
NPI 1417543406
Nurse Practitioner in Minneapolis, MN

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
100 WASHINGTON AVE S, MINNEAPOLIS, MN 55401(901) 337-6920 Get Directions Write a Review

NPPES record last updated: December 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krystle Lacole Oliver NPPES

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

KRYSTLE LACOLE OLIVER (NPI 1417543406) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Tennessee (28734) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417543406
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRYSTLE LACOLE OLIVER
Location Address100 WASHINGTON AVE SMinneapolis, MN 55401-2110
Mailing Address100 Washington Ave SMinneapolis, MN 55401-2110
Phone(901) 337-6920
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 15, 2020
Last NPPES UpdateDecember 19, 2020
NPPES CertifiedDecember 19, 2020
✔ NPI 1417543406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 28734
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 WASHINGTON AVE S, Minneapolis, MN 55401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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 Lacole Oliver 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 ID7517351232
PECOS Enrollment IDI20220223001234
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 Oliver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Providers Of America, LLC
605 mi
Primary Care
3801 E GALBRAITH RD
Cincinnati, OH 45236
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 clinicians in this Medicare group
NPI 1316560972 (404) 213-7394
Office Of Internal Medicine, PC
702 mi
Internal Medicine
2693 UNION AVENUE EXT STE 100
Memphis, TN 38112
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
NPI 1679776678 (901) 726-0843

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55401 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

ROSELINE AGBORSANGAYA
Nurse Practitioner (Family)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (501) 467-5334
PATRICIA NUNEZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (956) 949-1949
DESIREAH GONZALES
Registered Nurse
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (210) 412-9591
SOPHIA REID ACNPC-AG
Nurse Practitioner (Acute Care)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (866) 492-5336
CALLEN B KIBAGENDI NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (000) 000-0000
SUZANNE MICHELLE SCOTT
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Hennepin County (757) 309-2728

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 Oliver's NPI number?

The NPI number for Krystle Oliver is 1417543406. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Krystle Oliver located?

Krystle Oliver practices at 100 Washington Ave S, Minneapolis, MN 55401. The listed phone number is (901) 337-6920.

What is Krystle Oliver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Krystle Oliver enrolled in Medicare?

Yes. Krystle Oliver 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 Oliver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystle Oliver reassigns Medicare benefits to 2 organizations: Health Providers Of America, LLC (Cincinnati, OH) and Office Of Internal Medicine, PC (Memphis, 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 Oliver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystle Oliver accept?

Health plans from Cigna Healthcare list Krystle Oliver 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.

Is Krystle Oliver affiliated with any hospitals?

According to CMS data, Krystle Oliver is affiliated with Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Krystle Oliver was last updated on December 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.