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Active NPI 1487645404 Individual Practitioner Female Practitioner

Kellie Marie Reardon , FNP

Nurse Practitioner • San Marcos, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellie Reardon, FNP is a certified Nurse Practitioner practicing in San Marcos, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Kellie Reardon delivers high-quality medical care to the local community at 1301 WONDER WORLD DR.

Kellie Reardon is affiliated with Lone Star Emergency Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 Wonder World Dr

San Marcos, TX 786667533

Telephone 5127533796
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Marcos, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +22.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
15 Specialists

Practicing in San Marcos, TX (4894 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reardon (31 Years) 31 Yrs
San Marcos Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
77 76 $1606.01 $142.22
99284 Emergency department visit with moderate level of medical decision making
56 56 $1155.88 $98.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
25 24 $61.52 $6.57

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 516912

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
142619904 (TX)
Commercial Insurance / Payer ID Bcbs
89N666 (TX)

Hospital & Practice Group Affiliations

Lone Star Emergency Associates Llc

506 E San Antonio St, Victoria, TX 779016060

Phone: 3615757441

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Jose Pena , MD

Emergency Medicine

NPI 1104817220

Doctor of Medicine (M.D.)

Dr. Daniel Loisel , DO

Emergency Medicine

NPI 1245220540

Doctor of Osteopathic Medicine (D.O.)

Dr. John Whisenant , MD

Emergency Medicine

NPI 1457341752

Doctor of Medicine (M.D.)

Dr. Grant Williams , MD

Emergency Medicine

NPI 1487697074

Doctor of Medicine (M.D.)

Dr. Randolph Seybold , MD

Emergency Medicine

NPI 1659361954

Doctor of Medicine (M.D.)

Dr. Toan Leung , MD

Emergency Medicine

NPI 1699726000

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2014

Registered at 1301 WONDER WORLD DR, SAN MARCOS, TX 786667533 (Tel: 5127533796)

📍
Updated Business Mailing Address January 14, 2014

Registered at 4680 COUNTY ROAD 419, YOAKUM, TX 779957049 (Tel: 3617412678)

👤
Provider Name / Credentials Updated January 14, 2014

Recorded as KELLIE REARDON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Nurse Practitioner (License #516912 in TX)

🟢
Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487645404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: January 14, 2014
Sole Proprietor: No

Mailing Address

4680 County Road 419

Yoakum, TX 779957049

Phone: 3617412678

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.