Individual provider

Kristen Mccorquodale, PA-C

Medical Physician Assistant Medicare enrolled

Kristen Mccorquodale, PA-C is a Medical Physician Assistant in San Antonio, TX, registered under NPI 1104479104.

Getting there

The practice address on file is 3320 OAKWELL CT, San Antonio, TX 78218. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3320 OAKWELL CT, San Antonio, TX 78218 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA12853 TX Medical Physician Assistant primary

This provider holds licence PA12853 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
2668701749

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104479104 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 18, 2019
Last updatedMar 5, 2026
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 3320 OAKWELL CT
San Antonio, TX 78218
(210) 829-5180
Fax (210) 829-5030
This record was updated on Mar 5, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104479104 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 4 7 9 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 8 7 9 1 0

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104479104?
NPI 1104479104 is the National Provider Identifier assigned to Kristen Mccorquodale, PA-C in San Antonio, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Kristen Mccorquodale, PA-C?
The phone number on file with NPPES is (210) 829-5180, last updated Mar 5, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristen Mccorquodale, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104479104 a valid number?
Yes. 1104479104 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.