GENESIS GYNECOLOGY PA
NPI 1174792733
Obstetrics & Gynecology - Gynecology in Kerrville, TX
About Genesis Gynecology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS GYNECOLOGY PA (NPI 1174792733) is a healthcare organization registered as a gynecology in Kerrville, Texas and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through March 16, 2028 and lists Kerri Lee Truelock, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Genesis Gynecology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Genesis Gynecology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1081385
Genesis Gynecology PA · Kerrville, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Genesis Gynecology PA's NPI number?
The NPI number for Genesis Gynecology PA is 1174792733. It was assigned to this organization in the NPPES registry on February 27, 2008.
Where is Genesis Gynecology PA located?
Genesis Gynecology PA is located at 176 Fairway Dr, Kerrville, TX 78028. The listed phone number is (830) 792-0805.
What is Genesis Gynecology PA's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Genesis Gynecology PA enrolled in Medicare?
Yes. Genesis Gynecology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Genesis Gynecology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Genesis Gynecology PA, in Internal Medicine, Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Genesis Gynecology PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1081385) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Genesis Gynecology PA was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Genesis Gynecology Pa · NPI 1174792733
Gynecology organization in Kerrville, Texas. Organization record, active in the CMS NPPES registry since February 27, 2008.
## Identity
- **NPI:** 1174792733 (Entity type: Organization)
- **Enumerated:** February 27, 2008
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **Organization subpart:** No
- **Authorized official:** Kerri Truelock, PRESIDENT
## Practice location
- **Address:** 176 FAIRWAY DR, Kerrville, TX 78028-6437
- **Phone:** (830) 792-0805 · **Fax:** (830) 792-0833
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1), Obstetrics/Gynecology (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2013
- **Other identifiers:** Medicaid 193308701 (TX); Medicare NSC 6157650001 (TX); Other 0083RB (TX); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174792733) · Data from the CMS NPPES public registry.