CORTNEY WILCOX (FNP) – Family Nurse Practitioner, NPI 1063954451

CORTNEY WILCOX (FNP) is a healthcare provider. based in La mesa, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95005107 (CA). The NPI Number for CORTNEY WILCOX (FNP) is 1063954451

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CORTNEY WILCOX (FNP)
NPI
1063954451
Phone
(619) 670-8028
Address
8875 La Mesa Blvd Ste A
Enumeration Date
16 November 2016
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8557432247
Graduation Year
2016 (10 years ago)
PAC ID
6800136508
Group Practice PAC ID
2163969650
Professional Enrollment ID
I20191118000112
Address ID
IN462042810IN150XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for CORTNEY WILCOX (FNP)

  • 8875 La Mesa Blvd Ste A

    LA Mesa, CA 919425400

    Phone: (619) 670-8028

    Fax: (619) 670-9675

    Type: Location

  • PO BOX 392552 STE 320

    PITTSBURGH, PA 152519552

    Phone: (260) 483-9081

    Fax: (260) 483-9196

    Type: Mailing

  • 3512, Stellhorn Road, Fort Wayne, Allen County, Indiana, 46815, United States

    FORT WAYNE, IN 46815

    Phone: (260) 483-9081

    Fax: (260) 483-9196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($37).

Total Amount

$83

General + Research + Ownership

Payments

3

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191118000112INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,200313$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month603168$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes517154$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month420127$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes129123$0
View full utilization report →

Insurance plans in this area (ZIP 91942)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163969650View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantKY
Nurse PractitionerPA
Family PracticeNY
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantNC
Nurse PractitionerIN
General PracticeKY

Reviews

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Frequently asked questions

What is the registry number for CORTNEY WILCOX (FNP)?
The registry entry for CORTNEY WILCOX (FNP) shows NPI 1063954451.
Quick check: is CORTNEY WILCOX (FNP) active?
Public NPPES data shows CORTNEY WILCOX (FNP) with an active NPI status right now.
What services align with CORTNEY WILCOX (FNP)'s listing?
CORTNEY WILCOX (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CORTNEY WILCOX (FNP)?
CORTNEY WILCOX (FNP) is associated with La Mesa, California in the same public data insurers reference.
Why is information missing for CORTNEY WILCOX (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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