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DESIREE RAQUEL OUTLAW NP
NPI 1790051910
Nurse Practitioner - Family in Hampton, VA

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
1328 E PEMBROKE AVE, HAMPTON, VA 23669(757) 379-1660(855) 679-9729 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2024, Oct 30, 2023, Mar 2, 2021 and 1 more (4 updates tracked since 2017).

About Desiree Raquel Outlaw Np NPPES

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

DESIREE RAQUEL OUTLAW NP (NPI 1790051910) is an individual family provider in Hampton, Virginia, licensed in Virginia (0024178891) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Sentara Careplex Hospital, and maintains a secondary practice location in Newport News.

NPPES Registry Identity

NPI1790051910
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESIREE RAQUEL OUTLAWCredential: NP
Location Address1328 E PEMBROKE AVEHampton, VA 23669-2445
Mailing Address1328 E Pembroke AveHampton, VA 23669-2445 · (757) 379-1660
Phone(757) 379-1660
Fax(855) 679-9729
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateOctober 17, 20244 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1790051910 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
Licenses✔ Licensed in VA · 0024178891✔ Licensed in NY · 337212✔ Licensed in VA · 1292471
1328 E PEMBROKE AVE, Hampton, VA 23669
Open in Google Maps ↗

Secondary Practice Location 1

Location 13509 Chestnut AveNewport News, VA 23607-3201 · Phone (757) 271-4090 · Fax (844) 442-5167

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

Desiree Raquel Outlaw Np 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 ID1658697495
PECOS Enrollment IDI20210401000010
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.

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23669 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

DESIRABLE HEALTHCARE, LLC
Nurse Practitioner (Family)
1328 E PEMBROKE AVE
HAMPTON, VA 23669
Hampton City (757) 379-1660
WINTER LAUREN SEWARD-DIXON FNP-C
Nurse Practitioner (Family)
1328 E PEMBROKE AVE
HAMPTON, VA 23669
Hampton City (757) 904-3319

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 Desiree Outlaw's NPI number?

The NPI number for Desiree Outlaw is 1790051910. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Desiree Outlaw located?

Desiree Outlaw practices at 1328 E Pembroke Ave, Hampton, VA 23669. The listed phone number is (757) 379-1660.

What is Desiree Outlaw's specialty?

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

Is Desiree Outlaw enrolled in Medicare?

Yes. Desiree 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.

Is Desiree Outlaw affiliated with any hospitals?

According to CMS data, Desiree Outlaw is affiliated with Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Desiree Outlaw was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.