Individual provider Active NPI

Kerstin Holl Gillespie, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Liberty Hill, TX
National Provider Identifier
1932680055
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138380 Issued in TX
Practice address
14875 W State Highway 29
Liberty Hill, TX 78642-4294
Phone
(512) 566-0448
Fax
(125) 660-4495
NPI assigned
Aug 27, 2018
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138380 TX Primary

Addresses

Primary practice location

14875 W State Highway 29
Liberty Hill, TX 78642-4294

Mailing address

14875 W State Highway 29
Liberty Hill, TX 78642-4294
Phone (512) 566-0448

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
I20181003003348 TX Practitioner - Nurse Practitioner 0547512451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14875 W State Hwy 29
Liberty Hill, TX 78642-4294
Phone (512) 566-0448

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kerstin Gillespie LLC Family CurrentSince Mar 26, 2025 Accepting new patients

Locations

14875 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 566-0448

Interoperability endpoints

  • Direct secure messaging: kerstin.gillespie@122216389672964.direct.elationemr.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, 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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1932680055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14875 W STATE HIGHWAY 29",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424294",
            "telephone_number": "512-566-0448",
            "fax_number": "512-566-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14875 W STATE HIGHWAY 29",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424294",
            "telephone_number": "512-566-0448",
            "fax_number": "125-660-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "KERSTIN",
        "middle_name": "HOLL",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.