NICOLE RESTKO ACNP-BC
NPI 1225525793
Nurse Practitioner in San Antonio, TX

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
92.28/100
CMS Quality Rating
5430 FREDERICKSBURG RD STE 400, SAN ANTONIO, TX 78229(210) 538-2310 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Apr 10, 2026, Jul 9, 2025 and 5 more (8 updates tracked since 2018).

About Nicole Restko Acnp-bc NPPES

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

NICOLE RESTKO ACNP-BC (NPI 1225525793) is an individual nurse practitioner in San Antonio, Texas, licensed in Texas (1204986) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1225525793
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE RESTKOCredential: ACNP-BC
Location Address5430 FREDERICKSBURG RD STE 400San Antonio, TX 78229-3539
Mailing AddressPo Box 5730Belfast, ME 04915-5700 · (888) 402-7256
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2018
Last NPPES UpdateMay 13, 20268 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1225525793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1204986
Definition
(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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License C-APN.0102517-C-NP (CO), 218944 (MT)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 218944 (MT)
5430 FREDERICKSBURG RD STE 400, San Antonio, TX 78229

Other Names 1

Former Name (1)Nicole Darby Acnp-bc

Secondary Practice Location 1

Location 1350 Heritage Way Ste 2300Kalispell, MT 59901-3167 · Phone (406) 751-5455 · Fax (406) 257-8996

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Restko Acnp-bc 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 ID9537424460
PECOS Enrollment IDI20260529000345
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 Reassignments

5

Medicare enrollment records show Nicole Restko reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
9A CLARENCE WESLEY HEALTH CENTER LOOP
Bylas, AZ 85530
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
Pulmonary Disease
9060 E VIA LINDA STE 250
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 69 clinicians in this Medicare group
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
Cardiovascular Disease
5045 W GRANDE MARKET DR
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group
Family Medicine
106 RIDGEWATER DR STE A
Polson, MT 59860
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
50 services40 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
49 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

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.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost51.21

Other Providers at the Same Location NPPES 5

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

Physician Assistant
5430 FREDERICKSBURG RD STE 400
SAN ANTONIO, TX 78229
Internal Medicine (Interventional Cardiology)
5430 FREDERICKSBURG RD STE 400
SAN ANTONIO, TX 78229
Nurse Practitioner
5430 FREDERICKSBURG RD STE 400
SAN ANTONIO, TX 78229
Nurse Practitioner
5430 FREDERICKSBURG RD STE 400
SAN ANTONIO, TX 78229
Neurological Surgery
5430 FREDERICKSBURG RD STE 400
SAN ANTONIO, TX 78229

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 Nicole Restko's NPI number?

The NPI number for Nicole Restko is 1225525793. It was assigned to this individual provider in the NPPES registry on April 19, 2018. The provider is also known as Nicole Darby Acnp-Bc.

Where is Nicole Restko located?

Nicole Restko practices at 5430 Fredericksburg Rd Ste 400, San Antonio, TX 78229. The listed phone number is (210) 538-2310.

What is Nicole Restko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Restko enrolled in Medicare?

Yes. Nicole Restko 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.

Which organizations bill Medicare for Nicole Restko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Restko reassigns Medicare benefits to 5 organizations: San Carlos Apache Healthcare Corporation (Bylas, AZ), Arizona Pulmonary Specialists Ltd (Scottsdale, AZ), Ascension NE Wisconsin, Inc (Oshkosh, WI), Ascension Medical Group-Fox Valley Wisconsin, Inc (Appleton, WI) and Kalispell Regional Medical Center Inc (Polson, MT). Each 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 Nicole Restko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Restko accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Imperial Insurance Companies, Inc., Mountain Health CO-OP and Oscar Health Plan, Inc. list Nicole Restko 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 Nicole Restko affiliated with any hospitals?

According to CMS data, Nicole Restko is affiliated with Logan Health Medical Center and Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Restko was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.