Individual provider Active NPI

Nicole Restko, ACNP-BC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1225525793
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1204986 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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, MT5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180524002104 TX Practitioner - Nurse Practitioner 9537424460 Reassigns benefits to 2 organizations
I20190708000341 AZ Practitioner - Nurse Practitioner 9537424460 Reassigns benefits to 1 organization
I20240122001945 WI Practitioner - Nurse Practitioner 9537424460 Reassigns benefits to 2 organizations
I20240805002602 CO Practitioner - Nurse Practitioner 9537424460
I20260529000345 MT Practitioner - Nurse Practitioner 9537424460

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 IncGroup PAC ID 5294644381, shared by 7 NPIs, 422 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
1204986TXMDNurse Practitioner
218944MTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Arizona Pulmonary Specialists LTD CurrentSince Apr 28, 2019 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 CurrentSince Apr 11, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 23, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 23, 2025 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jan 5, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.