Kellie Marie Reardon is a San Marcos, Texas based nurse practitioner with 30 years of experience in . She completed her graduation in 1995. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kellie Marie Reardon is 516912 in Texas. Her current practice location is 1301 Wonder World Dr, San Marcos. Patients can reach her at 512-753-3796. Kellie Marie Reardon is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1487645404. Kellie Marie Reardon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kellie Marie Reardon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kellie Marie Reardon
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1995
Accepts Medicare Assignment:
Yes
Practice Address:
1301 Wonder World Dr, San Marcos, Texas, 78666-7533
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6901880673
Enrollment ID:
I20040618000087
NPI Number:
1487645404
NPI Enumeration Date:
31 Oct, 2005
NPI Last Update On:
14 Jan, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Marie Reardon are as mentioned below.
License Number
Specialization
State
Status
516912
Texas
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(451332)
Palacios, TX
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kellie Marie Reardon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Concord Medical Group Of Texas Pllc (7810117223)
301
Concord Medical Group Pllc (0446296818)
185
Ucp Physicians Of Central Texas, Pllc (3173697935)
84
Other Medical Identifiers:
Other legacy medical identifiers associated with Kellie Marie Reardon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
142619904
Medicaid
Texas
89N666
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kellie Marie Reardon 4680 County Road 419, Yoakum, Texas
Zip:
77995-7049
Phone Number:
361-741-2678
Patients can reach Kellie Marie Reardon at 1301 Wonder World Dr, San Marcos, Texas or can call to book an appointment on 512-753-3796.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.