Kellie Marie Reardon
FNP | Nurse Practitioner | 30+ years Exp
1301 Wonder World Dr, San Marcos
Texas, 78666-7533
512-753-3796
Accepts Medicare Nurse Anesthetist in San Marcos, Texas.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 |
| Phone: | 512-753-3796 |
Professional Identification Codes:
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:
Patients can read all the reviews posted for Kellie Marie Reardon below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Kellie Marie Reardon. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.