Individual provider Active NPI

Kurt D Killebrew, N.P.

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1497750228
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP109595 Issued in TX
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.

Hospital & facility affiliations 5

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

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 Company 2 clinicians
Wellmed Medical Group PA 666 clinicians

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 Home health agency, Victoria, TX, CCN 673133
  • Centerwell Home Health Home health agency, Victoria, TX, CCN 457126
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597

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
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

LicenseStateTypeSpecialty
AP109595TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Jul 11, 2022 Accepting new patients
Wellmed Medical Group, PA CurrentSince Jul 11, 2022 Accepting new patients
Chand Medical Practice Professional Limited Liability Company CurrentSince Feb 20, 2026 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

  • Direct secure messaging: kurt.killebrew@wellmed.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP109595 TX Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.