Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michelle Lynn Self

Nurse Practitioner โ€ข Live Oak, TX

Active NPI 1669086377 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

12500 Judson Rd Ste 210
Live Oak, TX 782334146

Call 2108780090 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

12500 Judson Rd Ste 210

Live Oak, TX 782334146

Telephone 2108780090
Organization at the Same NPPES Address or Phone
Virtuosa, Pllc Facility NPI 1407272834

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Antonio, TX. See the list

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

CMS Doctors and Clinicians lists 1 group name: Virtuosa Pllc. 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

Graduation Year

2019

Medicare patients

102 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $14,715 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,354 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

232 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$3,556 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $316.82 across 16 records.

By nature of payment

  • Food and Beverage: $316.82 across 16 records.

Reporting-company totals (3 largest of 7)

  • Sumitomo Pharma America, Inc.: $101.91 across 6 records.
  • Exeltis, USA Inc.: $79.44 across 4 records.
  • Baxter Healthcare: $37.75 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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

2020

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Michelle Self 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 Michelle Self 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 Live Oak and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.

Too few clinicians listed under Nurse Practitioner in Live Oak have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.

Too few clinicians listed under Nurse Practitioner in Live Oak have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.

Too few clinicians listed under Nurse Practitioner in Live Oak have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Live Oak, TX (2024, 11 clinicians with data). Median for this group: 793. Middle half: 154 to 1,295.

Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Live Oak, TX (2024, 11 clinicians with data). Median for this group: $22,853. Middle half: $3,536 to $330,707.

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.

17 active clinicians are listed under Nurse Practitioner with a practice address in Live Oak, TX (4,835 in Texas).

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

Telehealth indicator in Live Oak

29.4% of these 17 clinicians have the CMS telehealth indicator.

70.6% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 16 records totaling $316.82.

Manufacturer Payment Nature Product Type Amount ($)
Baxter Healthcare
Food and Beverage
In-kind items and services
TISSEEL General $37.75
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $26.05
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $21.86
MILLICENT US INC
Food and Beverage
In-kind items and services
INTRAROSA General $21.75
Exeltis, USA Inc.
Food and Beverage
In-kind items and services
SLYND General $21.40
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
MYFEMBREE General $20.86
Exeltis, USA Inc.
Food and Beverage
In-kind items and services
SLYND General $20.14
Exeltis, USA Inc.
Food and Beverage
In-kind items and services
SLYND General $19.51
Organon LLC
Food and Beverage
In-kind items and services
NEXPLANON General $18.44
Exeltis, USA Inc.
Food and Beverage
In-kind items and services
SLYND General $18.39
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
MYFEMBREE General $16.62
Integra LifeSciences Corporation
Food and Beverage
In-kind items and services
OMNIGRAFT General $15.86
MILLICENT US INC
Food and Beverage
In-kind items and services
INTRAROSA General $15.62
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
MYFEMBREE General $14.92
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
MYFEMBREE General $14.14
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
MYFEMBREE General $13.51

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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 scan of uterus, ovaries, tubes, cervix and pelvic area 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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ibuprofen Ibuprofen 35 527 $177.64 30
Estradiol Estradiol 32 2,160 $2,223.99 16
Ciprofloxacin Hcl Ciprofloxacin Hcl 29 111 $88.28 27
Acetaminophen-Codeine Acetaminophen With Codeine 27 66 $65.30 25
Metronidazole Metronidazole 17 125 $361.76 11
Fluconazole Fluconazole 16 134 $50.23 14
Nystatin Nystatin 15 374 $269.41 11
Valacyclovir Valacyclovir Hcl 11 521 $319.87 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES 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

License # reported to NPPES TX AP145664
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES TX AP145664
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 - NURSE PRACTITIONER

Medicare Enrollment ID

I20201109001479

Enrollment State Jurisdiction

TX

PECOS Control ID

8921418609

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

Virtuosa Pllc

12500 Judson Rd, Live Oak, TX 782334146

Phone: 2108780090

Secondary Practice Locations

9140 Guilbeau Rd

San Antonio, TX 782503080

Phone: 2105205183

Clinicians Sharing This Practice Address or Phone

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

3 listed
Dr. Susan Crockett , MD

Obstetrics & Gynecology - Gynecology

NPI 1821169228

Doctor of Medicine (M.D.)

Dr. Sonia Koshy , DO

Obstetrics & Gynecology - Gynecology

NPI 1588185862

Doctor of Osteopathic Medicine (D.O.)

Kimberly Zickafoose , WHNP-BC

Nurse Practitioner - Women's Health

NPI 1063007789

Women's Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Nurse Practitioner (license number reported to NPPES: TX AP145664)

๐Ÿ“
Updated Practice Location April 22, 2025

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

๐Ÿ“
Updated Practice Location May 04, 2023

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

๐Ÿ“
Updated Business Mailing Address February 24, 2022

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

๐Ÿ“
Updated Practice Location September 22, 2020

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

โœ…
NPI Profile Active September 01, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 01, 2020

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

๐Ÿ“
Business Mailing Address (Initial Record) September 01, 2020

Registered at 416 MORGAN RUN, CIBOLO, TX 781084073

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 01, 2020

Recorded as MICHELLE SELF

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Nurse Practitioner (license number reported to NPPES: TX AP145664)

๐ŸŸข
Initial NPI Registration & Enumeration September 01, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

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

Other Nurse Practitioners in Live Oak

All Nurse Practitioners in Live Oak

Mailing Address

12602 Toepperwein Rd Ste 208

Live Oak, TX 782333271

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.