Individual provider Active NPI

Krystine Awwiller, NP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1073258117
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1048304 Issued in TX
Practice address
7407 Broadway
San Antonio, TX 78209-3221
Phone
(281) 783-8162
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1048304 TX
Nurse Practitioner 363L00000X 1048304 TX Primary

Addresses

Primary practice location

7407 Broadway
San Antonio, TX 78209-3221

Mailing address

5718 Westheimer Rd Ste 1800
Houston, TX 77057-5773

Other practice location 1

4358 Lockhill Selma Rd Ste 106
Shavano Park, TX 78249-4167
Phone (210) 686-5000

Other names 1

  • Krystine Schillinger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kawwiller@nidraveda.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230117001205 TX Practitioner - Nurse Practitioner 4789055492 Reassigns benefits to 1 organization
I20241002002040 OH Practitioner - Nurse Practitioner 4789055492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Emergency Services, LLCGroup PAC ID 8921907601, 84 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-1997

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1048304TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nidraveda, P.a. CurrentSince May 1, 2022 Accepting new patients
Nluc PLLC CurrentSince Dec 4, 2022 Accepting new patients
Mid-Ohio Emergency Services, LLC Nurse Practitioner CurrentSince Aug 16, 2024 Accepting new patients
Nluc PLLC CurrentSince Dec 4, 2022 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

3880 Fishinger Blvd
Hilliard, OH 43026
Phone (614) 788-9310

5868 N Hamilton Rd
New Albany, OH 43054
Phone (614) 788-9350

4335 Alum Creek Dr
Obetz, OH 43207
Phone (614) 788-7135

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

4141 N Hampton Dr
Powell, OH 43065
Phone (614) 788-9340

6960 E Main St
Reynoldsburg, OH 43068
Phone (614) 788-9320

260 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3470

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

7407 Broadway
San Antonio, TX 78209
Phone (210) 824-4584

4358 Lockhill Selma Rd
Ste 106
Shavano Park, TX 78249
Phone (210) 686-5000

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1073258117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WESTHEIMER RD STE 1800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093221",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4358 Lockhill Selma Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Shavano Park",
            "state": "TX",
            "postal_code": "782494167",
            "country_code": "US",
            "telephone_number": "210-686-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWWILLER",
        "first_name": "KRYSTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048304",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1048304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kawwiller@nidraveda.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4358 Lockhill Selma Rd Ste 106",
            "city": "Shavano Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782494167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTINE",
            "last_name": "SCHILLINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.