Individual provider Active NPI

Kristina Marie Collins, M.D.

  • MOHS-Micrographic Surgery Physician
  • Georgetown, TX
National Provider Identifier
1881895118
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
P8873 Issued in TX
Practice address
4513 Williams Dr
Georgetown, TX 78633-1302
Phone
(512) 930-3909
Fax
(512) 869-5868
NPI assigned
May 31, 2007
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X P8873 TX Primary
Dermatology Physician 207N00000X P8873 TX

Addresses

Primary practice location

4513 Williams Dr
Georgetown, TX 78633-1302

Mailing address

4513 Williams Dr
Georgetown, TX 78633-1302
Phone (512) 930-3909

Other identifiers 1

IdentifierTypeStateIssuer
338110501MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140328000282 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5890967863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Skin PLLCGroup PAC ID 7113352766, 6 clinicians

Practice addresses (Care Compare)

1501 Dorothy Nichols LN
Unit B
Smithville, TX 78957-1738
Phone (737) 727-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision251
Removal of tissue1-10
Removal of skin lesions30
Removal of skin cancer848
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Skin PLLC Dermatology CurrentSince Dec 17, 2019 Accepting new patients

Locations

15601 W State Highway 71
Ste 200
Austin, TX 78738
Phone (512) 886-7546

209 S Church St
Ste A
Lockhart, TX 78644
Phone (512) 268-0800

1920 Corporate Dr
Ste 208
San Marcos, TX 78666
Phone (512) 396-3911

1501 Dorothy Nichols Ln
Unit B
Smithville, TX 78957
Phone (512) 237-1114

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1881895118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331302",
            "telephone_number": "512-930-3909",
            "fax_number": "512-869-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331302",
            "telephone_number": "512-930-3909",
            "fax_number": "512-869-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "P8873",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P8873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338110501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.