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

Michelle Lynn Self

Individual provider Nurse Practitioner · NPI 1669086377

Michelle Lynn Self is a Nurse Practitioner in Live Oak, Texas. Qualified in 2019, 7 years ago. Practices with Virtuosa PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
Specialties on file
3

Practice location Address checks out

12500 Judson Rd Ste 210
Live Oak, TX 78233-4146
Phone: (210) 878-0090
Show map & directions

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

Additional practice locations (1)

  • 9140 Guilbeau Rd, San Antonio, TX 78250-3080 — (210) 520-5183

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP145664 (TX)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence AP145664 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP145664 (TX)

Record details

NPI number1669086377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address12602 Toepperwein Rd Ste 208, Live Oak, TX 78233-3271

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Virtuosa Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Live Oak