NPIMap

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
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 AP109595 TX Primary

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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

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
Wellmed Medical Group PAGroup PAC ID 4880657386, 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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jul 11, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 11, 2022 Accepting new patients
Chand Medical Practice Professional Limited Liability Company CurrentSince Feb 20, 2026 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Texas Medical&Wellness Clinic P.a. Past Accepting new patients

Locations

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

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

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

4502 N Laurent St
Victoria, TX 77901
Phone (361) 573-0756

Interoperability endpoints

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

Organizations & group practices 6

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 5

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": "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.