Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michaela Ann Outlaw, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285506071

Michaela Ann Outlaw, APRN 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 3 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
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 232-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1505 Valley Dr, Bristol, TN 37620-5154 — (423) 534-1869
  • 403 N State Of Franklin Rd, Johnson City, TN 37604-6034 — (423) 431-7111

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
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESNovember 2, 2026
Certification dateNovember 2, 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

Colleagues at Blue Ridge Medical Management Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Johnson City