Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Nicole Kutzenberger, PA

Individual provider Surgical Physician Assistant · NPI 1407184724

Danielle Nicole Kutzenberger, PA is a Physician Assistant in College Station, Texas. Qualified in 2009, 17 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2803 Earl Rudder Fwy S Ste 103
College Station, TX 77845-6099
Phone: (979) 731-8888
Fax: (979) 731-8935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA06547 (TX)

Record details

NPI number1407184724
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 24, 2009
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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