Juanita Shawnta Outlaw, FNP-BC in Smithfield, NC

Juanita Shawnta Outlaw, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Smithfield, North Carolina. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mainstreet And Kidsstreet Of North Carolina Pllc and her current practice location is 293 Bella Sq, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 724-0192.

Juanita Shawnta Outlaw is licensed to practice in North Carolina (license number 197527) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083338198.

Contact Information

	Juanita Shawnta Outlaw, FNP-BC
	293 Bella Sq, Smithfield, NC 27577-8961
	(252) 724-0192
	Not Available

Map and Direction

Provider's Profile

Full Name	Juanita Shawnta Outlaw
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	293 Bella Sq, Smithfield, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Juanita Shawnta Outlaw graduated from nursing school in 2014

NPI Data:

NPI Number: 1083338198
Provider Enumeration Date: 10/03/2022
Last Update Date: 01/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2668844549
Enrollment ID: I20230203000160

Medical Identifiers

Medical identifiers for Juanita Shawnta Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083338198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5017031 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	197527 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainstreet And Kidsstreet Of North Carolina Pllc	6901290238	50

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Juanita Shawnta Outlaw allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

Entity Name	Mainstreet And Kidsstreet Of North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juanita Shawnta Outlaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Juanita Shawnta Outlaw, FNP-BC 293 Bella Sq, Smithfield, NC 27577-8961 Ph: (252) 724-0192	Juanita Shawnta Outlaw, FNP-BC 293 Bella Sq, Smithfield, NC 27577-8961 Ph: (252) 724-0192

Reviews and Comments

Nurse Practitioner Nurses in Smithfield, NC

Angela Louise Wadsworth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 514 N Brightleaf Blvd Ste 1620, Smithfield, NC 27577 Phone: 919-938-7187 Fax: 919-938-7201
Mrs. Karen H Merritt, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3749 Fax: 919-938-3795
Angela Demetrius, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Market St, Smithfield, NC 27577 Phone: 919-975-1100
Brittany Evans Jackson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 Phone: 919-989-2192 Fax: 919-934-0006
Mrs. Kathryn Thomason Sabatelli, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3717 Fax: 919-938-3795
Mrs. Tara Denise Bush, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 Lassiter St, Smithfield, NC 27577 Phone: 919-209-9856 Fax: 919-209-9859

Juanita Shawnta Outlaw, FNP-BC - Medicare Nurse Practitioner in Smithfield, NC