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JERRY LADON OUTLAW CRNP
NPI 1609125202
Nurse Practitioner - Family in Ozark, AL

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
145 KATHERINE AVE., OZARK, AL 36360(334) 774-5116(334) 774-6848 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jerry Ladon Outlaw Crnp NPPES

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

JERRY LADON OUTLAW CRNP (NPI 1609125202) is an individual family provider in Ozark, Alabama, licensed in Alabama (1-070149) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Northwest Florida Community Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609125202
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJERRY LADON OUTLAWCredential: CRNP
Location Address145 KATHERINE AVE.Ozark, AL 36360-1987
Mailing Address145 Katherine Ave.Ozark, AL 36360-1987 · (334) 774-5116 · Fax (334) 774-6848
Phone(334) 774-5116
Fax(334) 774-6848
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2012
✔ NPI 1609125202 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 AL · 1-070149
145 KATHERINE AVE., Ozark, AL 36360
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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

Jerry Ladon Outlaw Crnp 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 ID3072745546
PECOS Enrollment IDI20171116001942
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

3

Medicare enrollment records show Jerry Outlaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Florida Healthcare, Inc
48 mi
Critical Access
1360 BRICKYARD RD
Chipley, FL 32428
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
NPI 1336163708 (850) 638-1610
Southland Hospitlalist At Chipley, Pl.
48 mi
Hospitalist
1360 BRICKYARD RD
Chipley, FL 32428
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1801213020 (850) 638-1610
Calhoun-Liberty Hospital Association Inc
78 mi
Emergency Care
16257 STATE ROAD 71 S
Blountstown, FL 32424
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1033434196 (Florida)
  • 24 clinicians in this Medicare group
NPI 1649596784 (850) 674-5411

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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
83 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services19 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
25 services24 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
23 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101308
Location1360 Brickyard RdChipley, FL 32428 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36360 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers87 claims89 services$19.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers87 claims89 services$113.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jerry Outlaw's NPI number?

The NPI number for Jerry Outlaw is 1609125202. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Jerry Outlaw located?

Jerry Outlaw practices at 145 Katherine Ave., Ozark, AL 36360. The listed phone number is (334) 774-5116.

What is Jerry Outlaw's specialty?

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

Is Jerry Outlaw enrolled in Medicare?

Yes. Jerry Outlaw 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 Jerry Outlaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Outlaw reassigns Medicare benefits to 3 organizations: Northwest Florida Healthcare, Inc (Chipley, FL), Southland Hospitlalist At Chipley, Pl. (Chipley, FL) and Calhoun-Liberty Hospital Association Inc (Blountstown, FL). 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 Jerry Outlaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Outlaw accept?

Health plans from Ambetter Health and Ambetter of Alabama list Jerry Outlaw 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 Jerry Outlaw affiliated with any hospitals?

According to CMS data, Jerry Outlaw is affiliated with Northwest Florida Community Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Outlaw was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.