Active NPI
Kurt D Killebrew, N.P.
- Family Nurse Practitioner
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP109595
- Practice address
- 4502 N Laurent St
Victoria, TX 77901-2743 - Phone
- (361) 580-1111
- Fax
- (361) 580-1122
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Victoria, TX
- NPI 1992438360
TX
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1659679157
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1467458059
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital
-
- Home Health Agency
- Victoria, TX
- NPI 1164430286
-
- Home Health Agency
- Desoto, TX
- NPI 1801880554
-
- Home Health Agency
- Victoria, TX
- NPI 1649493693
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chand Medical Practice Professional Limited Liability CompanyWellmed Medical Group PA
Practice addresses (Care Compare)
2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 433-8264
448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400
Hospital & facility affiliations
- Texas Home Health Skilled Services
- Centerwell Home Health
- Citizens Medical Center
- Cuero Regional Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040825001125 | TX | Practitioner - Nurse Practitioner | 5193799088 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP109595 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, P.a. | Current | Accepting new patients | |
| Wellmed Medical Group, PA | Current | Accepting new patients | |
| Chand Medical Practice Professional Limited Liability Company | Current | Accepting new patients | |
| Texas Medical&Wellness Clinic P.a. | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400
4502 N Laurent St
Victoria, TX 77901
Phone (361) 573-0756
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
Interoperability endpoints
- kurt.killebrew@wellmed.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP109595 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4502 N Laurent St
Victoria, TX 77901-2743
Mailing address
4502 N Laurent St
Victoria, TX 77901-2743
Phone (361) 580-1111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2022.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1497750228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 N LAURENT ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779012743",
"telephone_number": "361-580-1111",
"fax_number": "361-580-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 N LAURENT ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779012743",
"telephone_number": "361-580-1111",
"fax_number": "361-580-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLEBREW",
"first_name": "KURT",
"middle_name": "D",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP109595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.