Kaytlyn D Kuecker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09323 Issued in TX

Practice address

22211 I-10 Access Rd Suite 1201
Inside Salons by JC Room #30
Boerne, TX 78006-2997

Phone

(806) 787-2563

Fax

(830) 239-5193

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kaytlyn Nichole Dutton Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Texas Nurse Advocate PLLCGroup PAC ID 7911362629, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baylor College of Medicine

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1285079764
  Medicare reassignment
• Texas Nurse Advocate PLLC

  • Adult Health Nurse Practitioner
  • Boerne, TX
  • NPI 1720791056
  Care Compare group
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1043612641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD SAN ANTONIO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063414",
            "telephone_number": "806-787-2563",
            "fax_number": "830-239-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22211 I-10 ACCESS RD SUITE 1201",
            "address_2": "INSIDE SALONS BY JC ROOM #30",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062997",
            "telephone_number": "806-787-2563",
            "fax_number": "830-239-5193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Old San Antonio Rd",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780063414",
            "country_code": "US",
            "telephone_number": "830-331-9880",
            "fax_number": "210-519-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUECKER",
        "first_name": "KAYTLYN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "345243503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345243502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYTLYN",
            "last_name": "DUTTON",
            "middle_name": "NICHOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Kory, LPC
• Elizabeth Marie Kotara, H.I.S.
• Rachel Krajewski
• Sandi Michelle Kramer, D.O.
• Sherman Kuan, PHARM.D.
• Corinne Kurth, LPC
• Dershie Bridgford Kurtz, PT
• Lisa Kveton-Bohnert, LMT
• Jeramie Lamie, HCP
• Lara Surgical Assisting LLC

• Physician Assistant in Boerne, TX
• Providers in Boerne, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.