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: August 02, 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
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

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Family)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Registered Nurse
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Nurse Practitioner (Acute Care)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Nurse Practitioner (Primary Care)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401

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.

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.