COURTNEY VANARSDALE (PA-C) – Physician Assistant, NPI 1083877864

COURTNEY VANARSDALE (PA-C) is a healthcare provider. based in Chestnut hill, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2576 (MA). The NPI Number for COURTNEY VANARSDALE (PA-C) is 1083877864

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY VANARSDALE (PA-C)
NPI
1083877864
Phone
Not provided
Address
850 BOYLSTON ST
Enumeration Date
2 July 2008
Last Update Date
23 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087184000
Graduation Year
2008 (18 years ago)
PAC ID
4183780646
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20090306000589
Address ID
MA020351375FO20XXXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for COURTNEY VANARSDALE (PA-C)

  • Boylston Street, Chestnut Hill, Newton, Middlesex County, Massachusetts, 02467, United States

    SUITE 112

    CHESTNUT HILL, MA 024672477

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Vericel Corporation ($129).

Total Amount

$129

General + Research + Ownership

Payments

4

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Vericel Corporation$129
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: 2009-03-06

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
I20090306000589IPhysician AssistantMATBD

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 02467)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Where can patients find COURTNEY VANARSDALE (PA-C)'s NPI?
You can confirm COURTNEY VANARSDALE (PA-C) with NPI 1083877864; it appears in the national provider directory.
Is COURTNEY VANARSDALE (PA-C)'s NPI currently valid?
The extract we use shows COURTNEY VANARSDALE (PA-C) as active.
What does COURTNEY VANARSDALE (PA-C) treat or focus on?
Patients typically see COURTNEY VANARSDALE (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for COURTNEY VANARSDALE (PA-C)?
The page summarizes Chestnut Hill, Massachusetts for COURTNEY VANARSDALE (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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