ANDREW KILBURN
NPI 1790503563
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Andrew Kilburn's NPI number?

The NPI number for Andrew Kilburn is 1790503563. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Q: What is Andrew Kilburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kilburn was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since October 01, 2024PECOS Enrolled

4055 VALLEY VIEW LN, DALLAS, TX 75244(855) 984-5121 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Andrew Kilburn NPPES

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

ANDREW KILBURN (NPI 1790503563) is an individual acute care provider in Dallas, Texas, licensed in Mississippi (905963) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790503563

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameANDREW KILBURN

Location Address4055 VALLEY VIEW LNDallas, TX 75244-5074

Mailing Address229 Hunters HolwColumbus, MS 39705-1681

Phone(855) 984-5121

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 1, 2024

NPPES CertifiedOctober 1, 2024

✔ NPI 1790503563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · 905963

4055 VALLEY VIEW LN, Dallas, TX 75244

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Kilburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901392885

PECOS Enrollment IDI20251230002320

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 75244 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.

ALAINA KAMKWALALA FNP

Nurse Practitioner (Family)