KELLIE MARIE REARDON FNP
NPI 1487645404
Nurse Practitioner in San Marcos, TX
About Kellie Marie Reardon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE MARIE REARDON FNP (NPI 1487645404) is an individual nurse practitioner in San Marcos, Texas, licensed in Texas (516912) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellie Marie Reardon Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
12Medicare enrollment records show Kellie Reardon reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78749
- Reassigned Medicare billing, Texas enrollment
- 241 clinicians in this Medicare group
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 430 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 118 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 96 clinicians in this Medicare group
Houston, TX 77024
- Reassigned Medicare billing, Texas enrollment
- 408 clinicians in this Medicare group
Eagle Pass, TX 78852
- Reassigned Medicare billing, Texas enrollment
- 63 clinicians in this Medicare group
Laredo, TX 78041
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 128 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
Frequently 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 Kellie Reardon's NPI number?
The NPI number for Kellie Reardon is 1487645404. It was assigned to this individual provider in the NPPES registry on October 31, 2005.
Where is Kellie Reardon located?
Kellie Reardon practices at 1301 Wonder World Dr, San Marcos, TX 78666. The listed phone number is (512) 753-3796.
What is Kellie Reardon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kellie Reardon enrolled in Medicare?
Yes. Kellie Reardon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kellie Reardon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Reardon reassigns Medicare benefits to 12 organizations: Ucp Physicians Of Central Texas, PLLC (Austin, TX), Victoria Emergency Partners LLC (Gonzales, TX), Lone Star Emergency Associates LLC (Victoria, TX), Victoria Emergency Associates LLC (Victoria, TX), Oleander Emergency Medicine Associates PA (Victoria, TX) and 7 more organizations, listed in the Medicare section above. Each 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 Kellie Reardon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Reardon accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Sendero Health Plans, Local Nonprofit list Kellie Reardon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kellie Reardon was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kellie Marie Reardon, FNP · NPI 1487645404
Nurse Practitioner physician in San Marcos, Texas. Individual provider, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1487645404 (Entity type: Individual)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 516912 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 WONDER WORLD DR, San Marcos, TX 78666-7533
- **Phone:** (512) 753-3796
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Ucp Physicians Of Central Texas, PLLC (NPI 1154472967, Austin, TX); Victoria Emergency Partners LLC (NPI 1164770996, Gonzales, TX); Lone Star Emergency Associates LLC (NPI 1457709040, Victoria, TX); Victoria Emergency Associates LLC (NPI 1407917164, Victoria, TX); Oleander Emergency Medicine Associates PA (NPI 1346515103, Victoria, TX); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** January 14, 2014
- **Other identifiers:** Other 89N666 (TX); Medicaid 142619904 (TX); Medicare UPIN S82503 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1487645404) · Data from the CMS NPPES public registry.