Active NPI
Kelsey Dillenburg, PNP
- Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP132631
- Practice address
- 1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078 - Phone
- (512) 708-1234
- Fax
- (512) 708-4567
- NPI assigned
- Aug 14, 2016
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP132631 | TX | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | AP132631 | TX | |
| Registered Nurse | 163W00000X | 806561 | TX | |
| Hospitalist Physician | 208M00000X | AP132631 | TX |
Addresses
Primary practice location
1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Mailing address
1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078
Phone (512) 708-1234
Other practice location 1
4015 22nd Pl
Lubbock, TX 79410-1119
Phone (806) 725-0030
Other practice location 2
5202 82nd St
Lubbock, TX 79424-2823
Phone (806) 725-7337
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806561 | TX | MD | Registered Nurse |
| AP132631 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Hospitalist | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Texas PLLC | Nurse Practitioner | Current | Accepting new patients |
| Covenant Medical Group | Current | Accepting new patients |
Locations
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
4002 24th St
Lubbock, TX 79410
Phone (806) 725-0000
4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000
5202 82nd St
Lubbock, TX 79424
Phone (806) 701-5265
3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431
Interoperability endpoints
- kdillenburg2801039@oc.providencedirect.org
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.
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1518475557
Nurse Practitioner
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
dba Austin Pediatric Surgery
- Surgery Physician
- Austin, TX
- NPI 1144315383
-
dba Covenant Family Healthcare Center
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1588118939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-708-1234",
"fax_number": "512-708-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-708-1234",
"fax_number": "512-708-4567"
}
],
"practiceLocations": [
{
"address_1": "4015 22nd Pl",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794101119",
"country_code": "US",
"telephone_number": "806-725-0030",
"fax_number": "806-725-0015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5202 82nd St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794242823",
"country_code": "US",
"telephone_number": "806-725-7337",
"fax_number": "806-723-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLENBURG",
"first_name": "KELSEY",
"credential": "PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-14",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP132631",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP132631",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "806561",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "AP132631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.