Active NPI
Nicole Restko, ACNP-BC
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1204986
- Practice address
- 5430 Fredericksburg Rd Ste 400
San Antonio, TX 78229-3539 - Phone
- (210) 538-2310
- NPI assigned
- Apr 19, 2018
- Last updated
- May 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1204986 | TX | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | C-APN.0102517-C-NP | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | 218944 | MT | |
| Gerontology Nurse Practitioner | 363LG0600X | 218944 | MT |
Addresses
Primary practice location
5430 Fredericksburg Rd Ste 400
San Antonio, TX 78229-3539
Mailing address
PO Box 5730
Belfast, ME 04915-5700
Phone (888) 402-7256
Other practice location 1
350 Heritage Way Ste 2300
Kalispell, MT 59901-3167
Phone (406) 751-5455
Other names 1
- Nicole Darby
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Direct | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ, WI, CO, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kalispell Regional Medical Center Inc
Practice addresses (Care Compare)
350 Heritage Way
Suite 2300
Kalispell, MT 59901-3167
Phone (406) 751-5455
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.9 of 100
- Quality
- 73.94
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1204986 | TX | MD | Nurse Practitioner |
| 218944 | MT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butte Des Morts Pathology, S.C. | Current | Accepting new patients | |
| Arizona Pulmonary Specialists LTD | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
3330 N 2nd St
Ste 300
Phoenix, AZ 85012
Phone (602) 261-7830
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 500-2285
9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
5430 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 538-2301
5430 Fredericksburg Rd
Ste 400
San Antonio, TX 78229
Phone (210) 538-2310
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Pulmonary Disease Physician
- Scottsdale, AZ
- NPI 1215986468
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba Ascension NE Wisconsin-Mercy Campus
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
-
- Anatomic Pathology & Clinical Pathology Physician
- Appleton, WI
- NPI 1205886918
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
dba Heart & Vascular Institute of Texas
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1225525793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5730",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155700",
"telephone_number": "888-402-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293539",
"telephone_number": "210-538-2310"
}
],
"practiceLocations": [
{
"address_1": "350 Heritage Way Ste 2300",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013167",
"country_code": "US",
"telephone_number": "406-751-5455",
"fax_number": "406-257-8996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESTKO",
"first_name": "NICOLE",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1204986",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "C-APN.0102517-C-NP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MT",
"license": "218944",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MT",
"license": "218944",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "350 Heritage Way Ste 2300",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "DARBY",
"credential": "ACNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.