MR. KEVIN STUESSY
NPI 1437577632
Physician Assistant - Medical in Jbsa Randolph, TX

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150(210) 652-0304 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2020, Aug 7, 2019 (2 updates tracked since 2019).

About Mr. Kevin Stuessy NPPES

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

MR. KEVIN STUESSY (NPI 1437577632) is an individual medical provider in Jbsa Randolph, Texas, licensed in Texas (PA13836) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Nebraska College Of Medicine (2014).

NPPES Registry Identity

NPI1437577632
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEVIN STUESSY
Location Address221 3RD ST W BLDG 1040Jbsa Randolph, TX 78150-4800
Mailing Address221 3rd St W Bldg 1040Jbsa Randolph, TX 78150-4800 · (210) 652-0304
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1437577632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in TX · PA13836 Licensed in CA · 55719
221 3RD ST W BLDG 1040, Jbsa Randolph, TX 78150

Secondary Practice Locations 2

Location 14700 Las Vegas Blvd NNellis AFB, NV 89191-6600 · Phone (702) 653-2520
Location 2443 Chaplian Madsig AvePresidio of Monterey, CA 93940 · Phone (831) 242-7528

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Mr. Kevin Stuessy 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 ID648520965
PECOS Enrollment IDI20260214000821
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.

Other Providers at the Same Location NPPES 20

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

Military/U.S. Coast Guard Pharmacy
221 3RD ST W BLDG 1040
UNIVERSAL CITY, TX 78150
Pediatrics
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Nurse Practitioner (Women's Health)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Family Medicine
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Pediatrics
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Physician Assistant
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Physician Assistant
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Physician Assistant
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437577632, enumerated as an "individual" on April 03, 2014.

The provider is located at 221 3RD ST W BLDG 1040 JBSA RANDOLPH, TX 78150 and the phone number is (210) 652-0304.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.