KRISTEN NICOLE MCCORQUODALE PA-C
NPI 1104479104
Physician Assistant - Medical in San Antonio, TX

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
92.16/100
CMS Quality Rating
3320 OAKWELL CT, SAN ANTONIO, TX 78218(210) 829-5180(210) 829-5030 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Sep 17, 2025, Jul 1, 2024 and 5 more (8 updates tracked since 2019).

About Kristen Nicole Mccorquodale Pa-c NPPES

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

KRISTEN NICOLE MCCORQUODALE PA-C (NPI 1104479104) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA12853) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104479104
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTEN NICOLE MCCORQUODALECredential: PA-C
Location Address3320 OAKWELL CTSan Antonio, TX 78218-3128
Mailing Address3320 Oakwell CtSan Antonio, TX 78218-3128 · (210) 829-5180 · Fax (210) 829-5030
Fax(210) 829-5030
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 18, 2019
Last NPPES UpdateMarch 5, 20268 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1104479104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA12853
3320 OAKWELL CT, San Antonio, TX 78218

Secondary Practice Locations 6

Location 13349 S Highway 181 Ste 13AKenedy, TX 78119-5247 · Phone (210) 829-5180 · Fax (210) 829-5030
Location 23326 Oakwell CourtSan Antonio, TX 78218 · Phone (210) 829-5180 · Fax (210) 829-5030
Location 35000 Schertz Pkwy Ste 400Schertz, TX 78154-1457 · Phone (210) 829-5180 · Fax (210) 829-5030
Location 421727 Ih 10 W Ste 202San Antonio, TX 78257-2107 · Phone (210) 829-5180 · Fax (210) 829-5030
Location 51763 Medical Way Ste BNew Braunfels, TX 78132-5415 · Phone (210) 829-5180 · Fax (210) 829-5030
Location 68019 S New Braunfels Ste 120San Antonio, TX 78235-1069 · Phone (210) 829-5180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristen Nicole Mccorquodale Pa-c 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.

PECOS PAC ID2668701749
PECOS Enrollment IDI20190916001584
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
178 services47 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
70 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services54 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
40 services38 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
22 services22 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.11
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Dermatology
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Nurse Practitioner (Family)
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Dermatology
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Dermatology
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Physician Assistant (Medical)
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Dermatology
3320 OAKWELL CT
SAN ANTONIO, TX 78218
Physician Assistant
3320 OAKWELL CT
SAN ANTONIO, TX 78218

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 Kristen Mccorquodale's NPI number?

The NPI number for Kristen Mccorquodale is 1104479104. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Kristen Mccorquodale located?

Kristen Mccorquodale practices at 3320 Oakwell Ct, San Antonio, TX 78218. The listed phone number is (210) 829-5180.

What is Kristen Mccorquodale's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristen Mccorquodale enrolled in Medicare?

Yes. Kristen Mccorquodale 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.

What insurance does Kristen Mccorquodale accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kristen Mccorquodale 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.

When was this NPI record last updated?

The NPPES record for Kristen Mccorquodale was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.