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MICHELLE LYNN SELF
NPI 1669086377
Nurse Practitioner in Live Oak, TX

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment
12500 JUDSON RD STE 210, LIVE OAK, TX 78233(210) 878-0090 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, May 20, 2025, May 4, 2023 and 3 more (6 updates tracked since 2020).

About Michelle Lynn Self NPPES

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

MICHELLE LYNN SELF (NPI 1669086377) is an individual nurse practitioner in Live Oak, Texas, licensed in Texas (AP145664) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669086377
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE LYNN SELF
Location Address12500 JUDSON RD STE 210Live Oak, TX 78233-4146
Mailing Address12602 Toepperwein Rd Ste 208Live Oak, TX 78233-3271
Phone(210) 878-0090
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 1, 2020
Last NPPES UpdateApril 14, 20266 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1669086377 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 · AP145664
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 · FamilyTaxonomy 363LF0000X · License AP145664 (TX)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License AP145664 (TX)
12500 JUDSON RD STE 210, Live Oak, TX 78233
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Secondary Practice Location 1

Location 19140 Guilbeau RdSan Antonio, TX 78250-3080 · Phone (210) 520-5183

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Michelle Lynn Self 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 ID8921418609
PECOS Enrollment IDI20201109001479
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

2

Medicare enrollment records show Michelle Self reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Physician Practices, PLLC
15 mi
Surgery
15727 ANTHEM PKWY STE 600
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 227 clinicians in this Medicare group
NPI 1922252717 (210) 575-8501
Virtuosa PLLC
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
No phone listed

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 8

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.

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.
108 services58 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
32 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
22 services22 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
20 services19 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.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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.

Other Providers at the Same Location NPPES 2

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

MRS. TIFFANY ELIZABETH WALTERS APRN
Nurse Practitioner (Women's Health)
12500 JUDSON RD STE 210
LIVE OAK, TX 78233
Bexar County (210) 878-0090
SUSAN ANN CROCKETT M.D.
Obstetrics & Gynecology (Gynecology)
12500 JUDSON RD STE 210
LIVE OAK, TX 78233
Bexar County (210) 878-0090

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 Michelle Self's NPI number?

The NPI number for Michelle Self is 1669086377. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Michelle Self located?

Michelle Self practices at 12500 Judson Rd Ste 210, Live Oak, TX 78233. The listed phone number is (210) 878-0090.

What is Michelle Self's specialty?

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

Is Michelle Self enrolled in Medicare?

Yes. Michelle Self 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 Michelle Self's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Self reassigns Medicare benefits to 2 organizations: Methodist Physician Practices, PLLC (San Antonio, TX) and Virtuosa PLLC (TX). 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 Michelle Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Self accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Michelle Self 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 Michelle Self was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.