Individual provider Active NPI

Kimberly Cedillo, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1770034720
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132212 Issued in TX
Practice address
1305 W Illinois Ave
Midland, TX 79701-6159
Phone
(432) 303-4673
Fax
(432) 303-4674
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132212 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132212 TX

Addresses

Primary practice location

1305 W Illinois Ave
Midland, TX 79701-6159

Mailing address

1305 W Illinois Ave
Midland, TX 79701-6159
Phone (432) 303-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.cedillo@1226924233850884.direct.elationemr.com Direct

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
I20161210000016 TX Practitioner - Nurse Practitioner 4587944434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 W Illinois Ave
Midland, TX 79701-6159
Phone (432) 303-4673

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132212TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health and Wellness, PLLC Family CurrentSince Jun 1, 2025 Accepting new patients

Locations

1305 W Illinois Ave
Midland, TX 79701
Phone (432) 303-4673

Interoperability endpoints

  • Direct secure messaging: kimberly.cedillo@1226924233850884.direct.elationemr.com
  • Direct secure messaging: kimberly.cedillo.1@14940.direct.athenahealth.com

Organizations & group practices 1

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1770034720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W ILLINOIS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016159",
            "telephone_number": "432-303-4673",
            "fax_number": "432-303-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W ILLINOIS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016159",
            "telephone_number": "432-303-4673",
            "fax_number": "432-303-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "KIMBERLY",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132212",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.cedillo@1226924233850884.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1305 W Illinois Ave",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797016159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.