COURTNEY L CONVERSE (PA-C) – Physician Assistant, NPI 1699743872
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for COURTNEY L CONVERSE (PA-C)
2545 Capital Ave SW Ste 207
Battle Creek, MI 490157123
Phone: (269) 234-7096
Fax: (269) 234-7097
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
535 S BURDICK ST STE 256
KALAMAZOO, MI 490076112
Phone: (269) 290-1901
Fax: (269) 290-1913
Type: Location
North Park Drive, Battle Creek, Southeast, Saint Paul, Ramsey County, Minnesota, 55119, United States
BATTLE CREEK, MI 490148562
Phone: (269) 660-1670
Fax: (269) 660-0666
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $1,139.
Total Amount is formed as General ($1,139) + Research ($0) + Ownership ($0) = $1,139.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($400).
Total Amount
$1,139
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $400 |
| GENZYME CORPORATION | $154 |
| Lilly USA, LLC | $140 |
| Sun Pharmaceutical Industries Inc. | $63 |
| Amgen Inc. | $58 |
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: 2005-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051129000389 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 552 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 94 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 146 | 87 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 128 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $0 |
Insurance plans in this area (ZIP 49015)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 17003 | Destruction of 2-14 skin growths | 603 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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