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Kaitlin Taylor Kucera , PA

Physician Assistant β€’ Bryan, TX

Active NPI 1578281820 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2010 E Villa Maria Rd Ste A
Bryan, TX 77802

Call 9797315200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2010 E Villa Maria Rd Ste A

Bryan, TX 77802

Telephone 9797315200
Fax 9798217631
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in College Station, TX; Midland, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: St Joseph Regional Health Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kaitlin Kucera has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kaitlin Kucera as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bryan and Texas

35 active clinicians are listed under Physician Assistant with a practice address in Bryan, TX (11,008 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bryan

5.7% of these 35 clinicians have the CMS telehealth indicator.

62.9% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA18368

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241105001452

Enrollment State Jurisdiction

TX

PECOS Control ID

9032643630

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St Joseph Regional Health Center

2801 Franciscan Dr, Bryan, TX 778022544

Phone: 9797762401

St Joseph Regional Health Center

2801 Franciscan Dr, Bryan, TX 778022544

St Joseph Regional Health Center

4401 State Hwy 6 S, College Station, TX 778454428

Phone: 9796904480

St Joseph Regional Health Center

2010 E Villa Maria Rd, Bryan, TX 778022583

Phone: 9797315200

Secondary Practice Locations

4421 State Highway 6 S Ste 100

College Station, TX 778456176

Phone: 9797315200

3600 N Garfield St

Midland, TX 797056329

Phone: 3615507669

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Jacqueline Cook , FNP-C

Nurse Practitioner - Family

NPI 1659840320

Family Nurse Practitioner (Certified)

Richard Delezene , PA-C

Physician Assistant

NPI 1982724134

Physician Assistant (Certified)

Holly Jackson , PA-C

Physician Assistant

NPI 1467826248

Physician Assistant (Certified)

Jana Kimberlin , FNP

Nurse Practitioner - Family

NPI 1396126116

Family Nurse Practitioner

Dr. Janet Krueger , MD

Emergency Medicine - Emergency Medical Services

NPI 1104874809

Doctor of Medicine (M.D.)

NPI 1902050230

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 19, 2025

Registered at 2010 E VILLA MARIA RD STE A, BRYAN, TX 77802 (Tel: 9797315200)

πŸ“
Updated Business Mailing Address June 19, 2025

Registered at 2010 E VILLA MARIA RD STE A, BRYAN, TX 778022583 (Tel: 9797315200)

πŸ“
Updated Practice Location February 11, 2025

Registered at 4421 STATE HIGHWAY 6 S STE 100, COLLEGE STATION, TX 778456176 (Tel: 9797315200)

πŸ“
Updated Business Mailing Address October 23, 2024

Registered at 4421 STATE HIGHWAY 6 S STE 100, COLLEGE STATION, TX 778456176 (Tel: 9797315200)

πŸ‘€
Provider Name / Credentials Updated October 23, 2024

Recorded as KAITLIN KUCERA, PA

πŸ“
Updated Business Mailing Address October 01, 2024

Registered at 4421 TEXAS 6 FRONTAGE RD., #100, COLLEGE STATION, TX 778454082 (Tel: 3615507669)

βœ…
NPI Profile Active August 22, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2022

Registered at 3600 N GARFIELD ST, MIDLAND, TX 797056329 (Tel: 3615507669)

πŸ“
Business Mailing Address (Initial Record) August 22, 2022

Registered at 7004 W WADLEY AVE APT D208, MIDLAND, TX 797074082 (Tel: 3615507669)

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2022

Recorded as KAITLIN KUCERA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 22, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578281820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2022
Last Update: June 19, 2025
Sole Proprietor: No

Other Physician Assistants in Bryan

All Physician Assistants in Bryan

Mailing Address

2010 E Villa Maria Rd Ste A

Bryan, TX 778022583

Phone: 9797315200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.