P Praxis·MD
● Active Type 1 · Individual

MR. Kevin Stuessy

Physician Assistant·Jbsa Randolph, TX· NPI 1437577632 · Enumerated 2014 · 12 years on NPI
Stuessy is 1 of 3 physician assistant providers in Jbsa Randolph and 1 of 2220 in Texas.
NPI age
12 years
Enumerated 2014-04-03
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-11-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
221 3rd St W Bldg 1040
Jbsa Randolph, TX 781504800
📞 2106520304
Mailing address
221 3rd St W Bldg 1040
Jbsa Randolph, TX 781504800
📞 2106520304

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4700 Las Vegas Blvd N
Nellis Afb, NV 891916600
📞 7026532520
Location 3
443 Chaplian Madsig Ave
Presidio Of Monterey, CA 93940
📞 8312427528

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA13836CA license #55719 taxonomy 363AM0700X
  • Student in an Organized Health Care Education/Training Program
    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.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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