Individual provider Active NPI

Madeline Beatty Kofskey, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1497328371
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3619 Paesanos Pkwy Ste 302
San Antonio, TX 78231-1259
Phone
(210) 469-3830
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3619 Paesanos Pkwy Ste 302
San Antonio, TX 78231-1259

Mailing address

3619 Paesanos Pkwy Ste 302
San Antonio, TX 78231-1259
Phone (210) 469-3830

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231117001354 TX Practitioner - Physician Assistant 3173997186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adam Bruggeman MD PLLCGroup PAC ID 4688987266, 12 clinicians

Practice addresses (Care Compare)

3619 Paesanos Pkwy
Suite 102
San Antonio, TX 78231-1254
Phone (210) 399-4836

3619 Paesanos Pkwy
Suite 302
San Antonio, TX 78231-1259
Phone (210) 802-4662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
2252ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jagannath LLC CurrentSince Feb 23, 2025 Accepting new patients
Adam Bruggeman MD PLLC Physician Assistant CurrentSince Mar 3, 2025 Accepting new patients
Spinalytics of Texas Inc Physician Assistant Past Accepting new patients
Nuhope Sa Recovery LLC Past Accepting new patients

Locations

19422 US Highway 281 N
Ste 106
San Antonio, TX 78258
Phone (210) 455-9000

20770 US Highway 281 N
San Antonio, TX 78258
Phone (210) 366-9906

3619 Paesanos Pkwy
Ste 10
San Antonio, TX 78231
Phone (210) 399-4836

3619 Paesanos Pkwy
Ste 302
Shavano Park, TX 78231
Phone (210) 469-3830

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1497328371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311259",
            "telephone_number": "210-469-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311259",
            "telephone_number": "210-469-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFSKEY",
        "first_name": "MADELINE",
        "middle_name": "BEATTY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.