Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Nicole McCorquodale, PA-C

Individual provider Medical Physician Assistant · NPI 1104479104

Kristen Nicole McCorquodale, PA-C is a Physician Assistant in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3320 Oakwell Ct
San Antonio, TX 78218-3128
Phone: (210) 829-5180
Fax: (210) 829-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 3349 S Highway 181 Ste 13a, Kenedy, TX 78119-5247 — (210) 829-5180
  • 1763 Medical Way Ste B, New Braunfels, TX 78132-5415 — (210) 829-5180
  • 3326 Oakwell Court, San Antonio, TX 78218 — (210) 829-5180
  • 8019 S New Braunfels Ste 120, San Antonio, TX 78235-1069 — (210) 829-5180
  • 21727 Ih 10 W Ste 202, San Antonio, TX 78257-2107 — (210) 829-5180
  • 5000 Schertz Pkwy Ste 400, Schertz, TX 78154-1457 — (210) 829-5180

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12853 (TX)

Record details

NPI number1104479104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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