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Active NPI 1669086377 Individual Practitioner Female Practitioner

Michelle Lynn Self

Nurse Practitioner • Live Oak, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle Self is a certified Nurse Practitioner practicing in Live Oak, TX. With approximately 7 years of clinical experience since completing medical education in 2019, Michelle Self delivers high-quality medical care to the local community at 12500 JUDSON RD STE 210.

Michelle Self is affiliated with Virtuosa Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, cervical or vaginal cancer screening; pelvic and clinical breast examination. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12500 Judson Rd Ste 210

Live Oak, TX 782334146

Telephone 2108780090
Associated Practice Facility / Clinic
🏢 Virtuosa, Pllc Facility NPI 1407272834

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Live Oak, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Live Oak, TX (4894 Statewide)

Telehealth Adoption Rate
29.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Self (7 Years) 7 Yrs
Live Oak Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
108 58 $218.82 $73.36
81002 Urinalysis, manual test
32 23 $10.00 $3.31
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
25 25 $125.00 $31.49
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
22 22 $64.95 $17.69
76830 Ultrasound pelvis through vagina
20 19 $371.13 $94.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 18 $325.02 $100.47
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
15 15 $136.23 $35.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $327.15 $90.20

Medical Specialties & State Licenses

CMS Verified: 2026-04-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP145664

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Obstetrics & Gynecology

NUCC Taxonomy Code: 363LX0001X

State License TX AP145664

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP145664

Definition to come...

Hospital & Practice Group Affiliations

Virtuosa Pllc

12500 Judson Rd, Live Oak, TX 782334146

Phone: 2108780090

Secondary Practice Locations

9140 Guilbeau Rd

San Antonio, TX 782503080

Phone: 2105205183

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kimberly Zickafoose , WHNP-BC

Nurse Practitioner - Women's Health

NPI 1063007789

Women's Health Nurse Practitioner (Board Certified)

Tiffany Walters , APRN

Nurse Practitioner - Women's Health

NPI 1417795451

Advanced Practice Registered Nurse

Dr. Sonia Koshy , DO

Obstetrics & Gynecology - Gynecology

NPI 1588185862

Doctor of Osteopathic Medicine (D.O.)

Lacey Aguero , LSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1679958680
Dr. Susan Crockett , MD

Obstetrics & Gynecology - Gynecology

NPI 1821169228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Nurse Practitioner (License #AP145664 in TX)

📍
Updated Practice Location April 22, 2025

Registered at 12500 JUDSON RD STE 210, LIVE OAK, TX 782334146 (Tel: 2108780090)

📍
Updated Practice Location May 04, 2023

Registered at 12602 TOEPPERWEIN RD STE 208, LIVE OAK, TX 782333271 (Tel: 2106644753)

📍
Updated Business Mailing Address February 24, 2022

Registered at 12602 TOEPPERWEIN RD STE 208, LIVE OAK, TX 782333271

📍
Updated Practice Location September 22, 2020

Registered at 9140 GUILBEAU RD, SAN ANTONIO, TX 782503080 (Tel: 2105205183)

NPI Profile Active September 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2020

Registered at 22202 BULVERDE RD, SAN ANTONIO, TX 782613080 (Tel: 2104970353)

📍
Updated Business Mailing Address September 01, 2020

Registered at 416 MORGAN RUN, CIBOLO, TX 781084073

👤
Provider Name / Credentials Updated September 01, 2020

Recorded as MICHELLE SELF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Nurse Practitioner (License #AP145664 in TX)

🟢
Initial NPI Registration & Enumeration September 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669086377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2020
Last Update: April 14, 2026
Sole Proprietor: No

Mailing Address

12602 Toepperwein Rd Ste 208

Live Oak, TX 782333271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.