KRYSTAL FAMILY PSYCHIATRY PLLC
NPI 1699492298
Nurse Practitioner - Psychiatric/Mental Health in Mesquite, TX

Active since October 24, 2022
1675 REPUBLIC PKWY STE 104, MESQUITE, TX 75150(469) 231-7232 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, Mar 5, 2024, Oct 24, 2022 (3 updates tracked since 2022).

About Krystal Family Psychiatry Pllc NPPES

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

KRYSTAL FAMILY PSYCHIATRY PLLC (NPI 1699492298) is a healthcare organization registered as a psychiatric/mental health in Mesquite, Texas and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Spokane and lists Keyna Nkemjika Omenukor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699492298
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKRYSTAL FAMILY PSYCHIATRY PLLC
Location Address1675 REPUBLIC PKWY STE 104Mesquite, TX 75150-6902
Mailing Address1675 Republic Pkwy Ste 190Mesquite, TX 75150-6902 · (469) 231-7232
Organization SubpartNo
Authorized OfficialKeyna Nkemjika OmenukorCeo · (469) 231-7232
Enumeration DateOctober 24, 2022
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1699492298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1675 REPUBLIC PKWY STE 104, Mesquite, TX 75150

Secondary Practice Location 1

Location 1522 W Riverside Ave # 5343Spokane, WA 99201-0580 · Phone (972) 576-7399

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Family Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Krystal Family Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1215307715
1675 REPUBLIC PKWY STE 190
Mesquite, TX 75150
(972) 576-7399
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508743204
1675 REPUBLIC PKWY STE 190
Mesquite, TX 75150
(972) 576-7399
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558987784
1675 REPUBLIC PKWY
Mesquite, TX 75150
(972) 891-2345
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1619763273
4144 N CENTRAL EXPY
Dallas, TX 75204
(972) 865-8782
✔ PECOS9.5 mi

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

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 Krystal Family Psychiatry PLLC's NPI number?

The NPI number for Krystal Family Psychiatry PLLC is 1699492298. It was assigned to this organization in the NPPES registry on October 24, 2022.

Where is Krystal Family Psychiatry PLLC located?

Krystal Family Psychiatry PLLC is located at 1675 Republic Pkwy Ste 104, Mesquite, TX 75150. The listed phone number is (469) 231-7232.

What is Krystal Family Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Krystal Family Psychiatry PLLC enrolled in Medicare?

Yes. Krystal Family Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Krystal Family Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Krystal Family Psychiatry PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Mental Health Counselor (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Krystal Family Psychiatry PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list Krystal Family Psychiatry PLLC 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 Krystal Family Psychiatry PLLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.