COURTNEY KATHRYN HOPP (PA) – Physician Assistant, NPI 1083213706

COURTNEY KATHRYN HOPP (PA) is a healthcare provider. based in Coronado, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA58627 (CA). The NPI Number for COURTNEY KATHRYN HOPP (PA) is 1083213706

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY KATHRYN HOPP (PA)
NPI
1083213706
Phone
(603) 732-6962
Address
752 C AVE APT C
Enumeration Date
23 October 2020
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Secondary Phone
6192989535
Graduation Year
2020 (6 years ago)
PAC ID
8628434172
Group Practice PAC ID
5395748669
Professional Enrollment ID
I20230525001893
Address ID
CA921032120SA4060XAVEX307

Contacts

Other Endpoint
Email
Other Endpoint
email
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for COURTNEY KATHRYN HOPP (PA)

  • 752 C AVE APT C

    CORONADO, CA 921182245

    Phone: (603) 732-6962

    Type: Mailing

  • 4060 FOURTH AVE STE 209

    SAN DIEGO, CA 921032120

    Phone: (619) 320-4807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,867.

Total Amount is formed as General ($1,867) + Research ($0) + Ownership ($0) = $1,867.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($629).

Total Amount

$1,867

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,867

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-05-25

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
I20230525001893IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92118)

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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: 5395748669View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
Radiation OncologyCA
Physician AssistantCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Can I use this page to confirm COURTNEY KATHRYN HOPP (PA)'s NPI?
Yes. COURTNEY KATHRYN HOPP (PA) is listed with NPI 1083213706 in the public NPI dataset.
Does the file indicate COURTNEY KATHRYN HOPP (PA) is practicing under active NPI?
Directory data currently reports COURTNEY KATHRYN HOPP (PA) as active.
What is COURTNEY KATHRYN HOPP (PA)'s primary classification?
Physician Assistant is the headline specialty for COURTNEY KATHRYN HOPP (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect COURTNEY KATHRYN HOPP (PA) on a map?
Expect Coronado, California as a primary anchor for COURTNEY KATHRYN HOPP (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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