Active NPI
Kaylan Vollmering
- Certified Registered Nurse Anesthetist
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1027319
- Practice address
- 2701 Hospital Dr
Victoria, TX 77901-5749 - Phone
- (361) 573-6291
- Fax
- (361) 576-2434
- NPI assigned
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1027319 | TX | Primary |
Addresses
Primary practice location
2701 Hospital Dr
Victoria, TX 77901-5749
Mailing address
1501 E Mockingbird LN Ste 101
Victoria, TX 77904-2178
Phone (361) 573-6291
Other practice location 1
6404 Nursery Dr
Victoria, TX 77904-1688
Phone (361) 570-8311
Other practice location 2
815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027319 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Anesthesia Services of South Texas-Cuero PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Citizen's Medical Center County of Victoria | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113
105 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234
Organizations & group practices 3
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.
-
dba Citizens Medical Professional
- Multi-Specialty Clinic/Center
- Victoria, TX
- NPI 1205242088
-
- Certified Registered Nurse Anesthetist
- Cuero, TX
- NPI 1881105849
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1750970422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN STE 101",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042178",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 HOSPITAL DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015749",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
}
],
"practiceLocations": [
{
"address_1": "6404 Nursery Dr",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779041688",
"country_code": "US",
"telephone_number": "361-570-8311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 N Virginia St",
"address_purpose": "LOCATION",
"city": "Port Lavaca",
"state": "TX",
"postal_code": "779793025",
"country_code": "US",
"telephone_number": "361-552-6713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOLLMERING",
"first_name": "KAYLAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1027319",
"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 Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.