ANDREW KILBURN
NPI 1790503563
Nurse Practitioner - Acute Care in Dallas, TX
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, is affiliated with Och Regional Medical Center, and maintains a secondary practice location in Starkville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Andrew Kilburn 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
3Medicare enrollment records show Andrew Kilburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75244
- Reassigned Medicare billing, Mississippi enrollment
- 202 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Mississippi enrollment
- 27 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Mississippi enrollment
- 18 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Och Regional Medical Center
Acute Care Hospitals · Starkville, MSPhysician 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.
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.
DALLAS, TX 75244
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 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.
Where is Andrew Kilburn located?
Andrew Kilburn practices at 4055 Valley View Ln, Dallas, TX 75244. The listed phone number is (855) 984-5121.
What is Andrew Kilburn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Andrew Kilburn enrolled in Medicare?
Yes. Andrew Kilburn 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 Andrew Kilburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kilburn reassigns Medicare benefits to 3 organizations: Signify Health, LLC (Dallas, TX), Ultra Health LLC (Nashville, TN) and Ultra Health Providers II LLC (Nashville, TN). 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 Andrew Kilburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Kilburn accept?
Health plans from Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Andrew Kilburn 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.
Is Andrew Kilburn affiliated with any hospitals?
According to CMS data, Andrew Kilburn is affiliated with Och Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Andrew Kilburn was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.
# Andrew Kilburn · NPI 1790503563
Acute Care physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since October 1, 2024.
## Identity
- **NPI:** 1790503563 (Entity type: Individual)
- **Enumerated:** October 1, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 905963 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4055 VALLEY VIEW LN, Dallas, TX 75244-5074
- **Phone:** (855) 984-5121
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Signify Health, LLC (NPI 1689158487, Dallas, TX); Ultra Health LLC (NPI 1922469543, Nashville, TN); Ultra Health Providers II LLC (NPI 1033956057, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790503563) · Data from the CMS NPPES public registry.