Individual provider Active NPI

Kaylan Vollmering

  • Certified Registered Nurse Anesthetist
  • Victoria, TX
National Provider Identifier
1750970422
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1027319 Issued in TX
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

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210121003004 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527472133 Reassigns benefits to 2 organizations

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
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

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

LicenseStateTypeSpecialty
1027319TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Am Anesthesia Services of South Texas-Cuero PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2023 Accepting new patients
Citizen's Medical Center County of Victoria CurrentSince Apr 1, 2022 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.