Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michaela Ann Outlaw

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285506071

Michaela Ann Outlaw is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2025, 1 year ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
1
Licensed in
TN, VA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

403 N State Of Franklin Rd
Johnson City, TN 37604-6034
Phone: (423) 431-7111
Fax: (423) 431-7092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1505 Valley Dr, Bristol, TN 37620-5154 — (423) 534-1869

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 39567 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024194962 (VA)

Record details

NPI number1285506071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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