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GRETCHEN LEAH HILT CNM-APRN
NPI 1982493094
Advanced Practice Midwife in Seguin, TX

Active since May 05, 2025PECOS Enrolled
1339 E COURT ST STE 210, SEGUIN, TX 78155(830) 379-2411 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, May 5, 2025 (2 updates tracked since 2025).

About Gretchen Leah Hilt Cnm-aprn NPPES

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

GRETCHEN LEAH HILT CNM-APRN (NPI 1982493094) is an individual advanced practice midwife in Seguin, Texas, licensed in Texas (1196376) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982493094
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameGRETCHEN LEAH HILTCredential: CNM-APRN
Location Address1339 E COURT ST STE 210Seguin, TX 78155-5141
Mailing Address1339 E Court St Ste 210Seguin, TX 78155-5141 · (830) 379-2411
Phone(830) 379-2411
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 5, 2025
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1982493094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TX · 1196376
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1339 E COURT ST STE 210, Seguin, TX 78155
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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, CHRISTUS Health Plan, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretchen Leah Hilt Cnm-aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810481348
PECOS Enrollment IDI20251211003640
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 Gretchen Hilt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guadalupe Regional Medical Group
0.8 mi
Multi-Specialty
105 MEDICAL
Seguin, TX 78155
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1578873717 (830) 401-7558

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.

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRCHNER WOMENS CLINIC PLLC
Obstetrics & Gynecology
1339 E COURT ST STE 210
SEGUIN, TX 78155
Guadalupe County (830) 379-1500

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 Gretchen Hilt's NPI number?

The NPI number for Gretchen Hilt is 1982493094. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Gretchen Hilt located?

Gretchen Hilt practices at 1339 E Court St Ste 210, Seguin, TX 78155. The listed phone number is (830) 379-2411.

What is Gretchen Hilt's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Gretchen Hilt enrolled in Medicare?

Yes. Gretchen Hilt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gretchen Hilt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Hilt reassigns Medicare benefits to Guadalupe Regional Medical Group (Seguin, TX). 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 Gretchen Hilt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gretchen Hilt accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Gretchen Hilt 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 Gretchen Hilt affiliated with any hospitals?

According to CMS data, Gretchen Hilt is affiliated with Guadalupe Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gretchen Hilt was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.