COURTNEY MARIE LEE (PA-C) – Physician Assistant, NPI 1417046459
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for COURTNEY MARIE LEE (PA-C)
1650 COWLES ST
FAIRBANKS, AK 997015907
Phone: (907) 458-6450
Fax: (907) 458-6430
Type: Location
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554044518
Phone: (952) 992-5290
Type: Mailing
5955 Zeamer Ave
673d MDOS/SGOE
Jber, AK 995063702
Phone: (907) 580-5550
Type: Location
2525 Chicago Ave
Minneapolis, MN 554044518
Phone: (952) 992-5290
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210810003056 | I | Physician Assistant | TX | TBD |
| I20250609001356 | I | Physician Assistant | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 130 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 69 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 93 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 54 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 45 | 36 | $0 |
Insurance plans in this area (ZIP 99701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AK | |
| Physician Assistant | MD | |
| Vascular Surgery | TN | |
| Family Practice | AK | |
| Nurse Practitioner | AK | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| Cardiovascular Disease (Cardiology), Neurology, Nuclear Medicine | CO | |
| Physician Assistant | AK |
Reviews
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