KRYSTINE AWWILLER (NP) – Nurse Practitioner, NPI 1073258117

KRYSTINE AWWILLER (NP) is a healthcare provider. based in Shavano park, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1048304 (TX). The NPI Number for KRYSTINE AWWILLER (NP) is 1073258117

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTINE AWWILLER (NP)
NPI
1073258117
Phone
(210) 686-5000
Address
4358 Lockhill Selma Rd Ste 106
Enumeration Date
3 May 2022
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145661997
Graduation Year
2021 (5 years ago)
PAC ID
4789055492
Group Practice PAC ID
8921907601
Professional Enrollment ID
I20241002002040
Address ID
OH432143908CO3535XRDXX400

Contacts

Secure Messaging
kawwiller@nidraveda.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KRYSTINE AWWILLER (NP)

  • 4358 Lockhill Selma Rd Ste 106

    Shavano Park, TX 782494167

    Phone: (210) 686-5000

    Type: Location

  • 8035 CHESTNUT MANOR DR

    CONVERSE, TX 781093266

    Phone: (740) 504-7167

    Type: Mailing

  • 4358 LOCKHILL SELMA RD STE 106

    SHAVANO PARK, TX 782494167

    Phone: (210) 686-5000

    Type: Location

  • 5718 WESTHEIMER RD STE 1800

    HOUSTON, TX 770575773

    Phone:

    Type: Mailing

  • 7407 BROADWAY

    SAN ANTONIO, TX 782093221

    Phone: (281) 783-8162

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: CSL Behring ($27).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230117001205INurse PractitionerTXTBD
I20241002002040INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 78249)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921907601View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH
Physician AssistantOH
Emergency MedicineFL
Emergency MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for KRYSTINE AWWILLER (NP)?
Save NPI 1073258117 if you need a stable reference for KRYSTINE AWWILLER (NP).
Is KRYSTINE AWWILLER (NP) active in the national directory?
KRYSTINE AWWILLER (NP)'s public NPI profile is in an active state.
What field does KRYSTINE AWWILLER (NP) work in?
You can think of KRYSTINE AWWILLER (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KRYSTINE AWWILLER (NP)'s primary listing?
We display Shavano Park, Texas because that is what the record indicates for KRYSTINE AWWILLER (NP).
How can I contact KRYSTINE AWWILLER (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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