1. Home
  2. Directory
  3. Texas
  4. Kerens
  5. Nurse Practitioner
  6. NPI Profile

KELLY C KILCREASE APRN
NPI 1912359050
Nurse Practitioner - Psychiatric/Mental Health in Kerens, TX

Active since July 12, 2016PECOS Enrolled
908 LAKESIDE LN, KERENS, TX 75144(318) 518-7967 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2018, Jul 12, 2016 (2 updates tracked since 2016).

About Kelly C Kilcrease Aprn NPPES

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

KELLY C KILCREASE APRN (NPI 1912359050) is an individual psychiatric/mental health provider in Kerens, Texas, licensed in Texas (AP131121) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912359050
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY C KILCREASECredential: APRN
Location Address908 LAKESIDE LNKerens, TX 75144-6048
Mailing Address908 Lakeside LnKerens, TX 75144-6048 · (318) 518-7967
Phone(318) 518-7967
Sole ProprietorNo
Enumeration DateJuly 12, 2016
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1912359050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP131121
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP131121 (TX)
908 LAKESIDE LN, Kerens, TX 75144
Open in Google Maps ↗

Other Identifiers 1

Other1265951453TX · Group Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly C Kilcrease Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Kilcrease reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Revitalize Psychiatric Services, Inc.
716 mi
Psychiatric/Mental Health
7900 E UNION AVE STE 1100
Denver, CO 80237
  • Reassigned Medicare billing, Colorado enrollment
  • 5 clinicians in this Medicare group
NPI 1174212047 (303) 414-1164

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75144 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Kelly Kilcrease's NPI number?

The NPI number for Kelly Kilcrease is 1912359050. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Kelly Kilcrease located?

Kelly Kilcrease practices at 908 Lakeside Ln, Kerens, TX 75144. The listed phone number is (318) 518-7967.

What is Kelly Kilcrease's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Kilcrease enrolled in Medicare?

Yes. Kelly Kilcrease is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Kilcrease's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kilcrease reassigns Medicare benefits to Revitalize Psychiatric Services, Inc. (Denver, CO). The 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 Kelly Kilcrease's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Kilcrease was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.