COURTNEY COLLINS (MD) – Emergency Medicine Physician, NPI 1053059550

COURTNEY COLLINS (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 04-51264 (KS). The NPI Number for COURTNEY COLLINS (MD) is 1053059550

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY COLLINS (MD)
NPI
1053059550
Phone
Not provided
Address
1000 OAKLAND DR
Enumeration Date
24 May 2022
Last Update Date
3 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7812801589
Graduation Year
2022 (4 years ago)
PAC ID
9931589454
Group Practice PAC ID
2860458544
Professional Enrollment ID
I20250721003140
Address ID
KS660673537OT1301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for COURTNEY COLLINS (MD)

  • 1000 OAKLAND DR

    KALAMAZOO, MI 490081282

    Phone:

    Type: Mailing

  • 9100 W 74TH ST

    OVERLAND PARK, KS 662044004

    Phone: (913) 676-2214

    Fax: (913) 676-2215

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-21

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
I20250721003140IEmergency MedicineKSTBD

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 49008)

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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: 2860458544View full group profile
NameSpecialtyState
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineTX
Emergency MedicineWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for COURTNEY COLLINS (MD)?
COURTNEY COLLINS (MD) — NPI 1053059550 — is the standard way to identify this listing.
Is COURTNEY COLLINS (MD) still practicing?
COURTNEY COLLINS (MD) is currently listed as active in the public NPI registry.
What is COURTNEY COLLINS (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for COURTNEY COLLINS (MD) here. Clinical services aligned with this taxonomy classification.
Where is COURTNEY COLLINS (MD) based?
COURTNEY COLLINS (MD) is tied to Kalamazoo, Michigan in the data we show; additional addresses may exist on the full record.
Why does COURTNEY COLLINS (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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