Mistie Kocurek, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132322 Issued in TX

Practice address

9955 Braun Rd
San Antonio, TX 78254-9001

Phone

(210) 457-0456

Fax

(830) 205-2582

NPI assigned

Nov 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kellum Physician Partners PAGroup PAC ID 1850553058, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15765/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/AFCJBD
• Direct secure messaging: mistie.kocurek.1@18156.direct.athenahealth.com

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.

• Kellum Physician Partners, PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1073880092
  Medicare reassignment Care Compare group NPD
• Alliance Spine and Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Boerne, TX
  • NPI 1740731074
  Medicare reassignment NPD
• South Texas Nurse Practitioner Services, PLLC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1013383801
  Medicare reassignment NPD
• Bipaja Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Lockhart, TX
  • NPI 1366258519

  Family

  NPD
• Orthorehab LLC

  • Physical Therapist
  • San Antonio, TX
  • NPI 1447817754
  NPD

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1629520184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 BRAUN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549001",
            "telephone_number": "210-457-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 BRAUN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549001",
            "telephone_number": "210-457-0456",
            "fax_number": "830-205-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCUREK",
        "first_name": "MISTIE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan B Kochanski, M.D.
• Alexis Kochenash
• Suzanne Kocher
• Renimol Kochumon
• Kristen A Kocurek, MD
• Saranya Kodali, M.D.
• John Kodosky, PA-C
• Nagalakshmi Koduri
• Humaira Ashraf Kodwavi, SLP ASSISTANT
• Deborah Kodzo

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.