1. Home
  2. Directory
  3. Texas
  4. Southlake
  5. Nurse Practitioner
  6. NPI Profile

MRS. KRISTEN ROSLOV NP
NPI 1467131698
Nurse Practitioner - Family in Southlake, TX

Active since July 14, 2023PECOS Enrolled
1545 E SOUTHLAKE BLVD STE 140, SOUTHLAKE, TX 76092(817) 332-7867 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kristen Roslov Np NPPES

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

MRS. KRISTEN ROSLOV NP (NPI 1467131698) is an individual family provider in Southlake, Texas, licensed in Texas (1124376) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467131698
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KRISTEN ROSLOVCredential: NP
Location Address1545 E SOUTHLAKE BLVD STE 140Southlake, TX 76092-6464
Mailing Address106 Killdeer CtSouthlake, TX 76092-5802 · (479) 431-9347
Phone(817) 332-7867
Sole ProprietorNo
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1467131698 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 · 1124376
1545 E SOUTHLAKE BLVD STE 140, Southlake, TX 76092
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Roslov Np 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 Kristen Roslov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Ben Deheshi Orthopedics PLLC
11 mi
Clinic/Center
3412 N TARRANT PKWY STE 520
Fort Worth, TX 76177
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1992263628 (817) 322-7867

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 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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

MIRANDA K CHEIB C-NP
Nurse Practitioner (Family)
1545 E SOUTHLAKE BLVD STE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 332-7867
MASTER CENTER FOR LAPAROSCOPIC SURGERY-TEXAS,LLP
Surgery
1545 E SOUTHLAKE BLVD STE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 748-0200
DR BEN DEHESHI ORTHOPEDICS PLLC
Orthopaedic Surgery
1545 E SOUTHLAKE BLVD STE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 332-7867

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 Kristen Roslov's NPI number?

The NPI number for Kristen Roslov is 1467131698. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Kristen Roslov located?

Kristen Roslov practices at 1545 E Southlake Blvd Ste 140, Southlake, TX 76092. The listed phone number is (817) 332-7867.

What is Kristen Roslov's specialty?

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

Is Kristen Roslov enrolled in Medicare?

Yes. Kristen Roslov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristen Roslov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Roslov reassigns Medicare benefits to Dr Ben Deheshi Orthopedics PLLC (Fort Worth, 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 Kristen Roslov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristen Roslov was last updated on July 14, 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.