KRYSTAL MONIQUE BAGLEY FNP-C
NPI 1871196725
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Krystal Bagley's NPI number?

The NPI number for Krystal Bagley is 1871196725. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Q: What is Krystal Bagley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krystal Bagley was last updated on November 17, 2023. 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.

Active since November 20, 2020PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-1116(682) 885-3477 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2023, Nov 20, 2020 (2 updates tracked since 2020).

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About Krystal Monique Bagley Fnp-c NPPES

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

KRYSTAL MONIQUE BAGLEY FNP-C (NPI 1871196725) is an individual family provider in Fort Worth, Texas, licensed in Texas (1020154) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871196725

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRYSTAL MONIQUE BAGLEYCredential: FNP-C

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(682) 885-1116

Fax(682) 885-3477

Sole ProprietorNo

Enumeration DateNovember 20, 2020

Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1871196725 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 · 1020154

1500 COOPER ST, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Monique Bagley Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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 20

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

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)