KHALILAH KRYSTAL LARUE (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255578548
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for KHALILAH KRYSTAL LARUE (CNP)
3252 POMARINE LN
PEACHTREE CORNERS, GA 300924919
Phone: (614) 668-2149
Type: Mailing
1147 KINNETON DRIVE
COLUMBUS, OH 43228
Phone: (614) 668-2149
Type: Mailing
16, West Long Street, High Street Corridor, Columbus, Franklin, Ohio, 43215, United States
COLUMBUS, OH 432152815
Phone: (614) 225-0990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110523000041 | I | Nurse Practitioner | OH | TBD |
| I20220207000092 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | 164 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 157 | 21 | $0 |
Insurance plans in this area (ZIP 30092)
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