Individual provider Active NPI

Kristin Leni Dillon, NP-C

  • Family Nurse Practitioner
  • Alice, TX
National Provider Identifier
1013321686
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125755 Issued in TX
Practice address
2510 E Main St Ste 102
Alice, TX 78332-4188
Phone
(361) 664-4445
Fax
(361) 664-4449
NPI assigned
Jun 11, 2014
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125755 TX Primary

Addresses

Primary practice location

2510 E Main St Ste 102
Alice, TX 78332-4188

Mailing address

2510 E Main St Ste 102
Alice, TX 78332-4188
Phone (361) 664-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150206000295 TX Practitioner - Nurse Practitioner 0042535478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2510 E Main Street
102 Wellmed at Alice
Alice, TX 78332-4187
Phone (361) 664-4445

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125755TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Jul 8, 2019 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jan 24, 2022 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jan 24, 2022 Accepting new patients
CLS Health PLLC Past Accepting new patients

Locations

2510 E Main St
Ste 102
Alice, TX 78332
Phone (361) 664-4445

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

113 Pleasant Valley Dr
Ste 210
Boerne, TX 78006

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: kristin.dillon.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: kristin.dillon@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1013321686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E MAIN ST STE 102",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324188",
            "telephone_number": "361-664-4445",
            "fax_number": "361-664-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E MAIN ST STE 102",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324188",
            "telephone_number": "361-664-4445",
            "fax_number": "361-664-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "KRISTIN",
        "middle_name": "LENI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.