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SAMANTHA RAE KILLGORE PNP-AC
NPI 1669938627
Nurse Practitioner - Pediatrics in Dallas, TX

Active since February 14, 2019PECOS Enrolled
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-2331 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Rae Killgore Pnp-ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA RAE KILLGORE PNP-AC (NPI 1669938627) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (AP140648) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669938627
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA RAE KILLGORECredential: PNP-AC
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address3300 Discovery DrLittle Elm, TX 75068-0710
Phone(214) 456-2331
Sole ProprietorNo
Enumeration DateFebruary 14, 2019
✔ NPI 1669938627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP140648
1935 MEDICAL DISTRICT DR, Dallas, TX 75235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Rae Killgore Pnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TERESA ANNA JONES CPNP-AC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (973) 801-0173
CASSIE ANN LAURENCE PA-C
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MICHELE WILLET RYLANDER RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
MR. ADAM CHRISTOPHER WENNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (469) 303-7000
RICHARD DAVID SENTELLE D.M.D./PH.D.
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Dallas County (214) 456-2735
KELSEY NICOLE BURKHART PA
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000
RENAE JEAN WHITE MD
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-2735
VICTORIA LEE CPNP-AC/PC
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Dallas County (214) 456-7000

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 Samantha Killgore's NPI number?

The NPI number for Samantha Killgore is 1669938627. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Samantha Killgore located?

Samantha Killgore practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-2331.

What is Samantha Killgore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samantha Killgore enrolled in Medicare?

Yes. Samantha Killgore is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Killgore accept?

Health plans from Blue Cross and Blue Shield of Texas list Samantha Killgore 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 Samantha Killgore was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.