COURTNEY L SCOTT – Physician Assistant, NPI 1821075425

COURTNEY L SCOTT is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold a License No. 9721 (MN). The NPI Number for COURTNEY L SCOTT is 1821075425

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY L SCOTT
NPI
1821075425
Phone
(952) 993-7169
Address
6465 WAYZATA BLVD
Enumeration Date
27 December 2005
Last Update Date
17 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514956200
Graduation Year
2002 (24 years ago)
PAC ID
1052307832
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20040426000656
Address ID
MN551302400SA295XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for COURTNEY L SCOTT

  • Wayzata Blvd, South Wayzata Boulevard, Minneapolis, Hennepin County, Minnesota, 55416, United States

    STE 315

    MINNEAPOLIS, MN 554261728

    Phone: (952) 993-7169

    Fax: (952) 993-0300

    Type: Mailing

  • Excelsior Boulevard, Wolfe Park, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    PARK NICOLLET CLINIC - MEADOWBROOK

    ST LOUIS PARK, MN 55426

    Phone: (952) 993-7342

    Fax: (952) 993-2701

    Type: Location

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: 2004-04-26

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
I20040426000656IPhysician AssistantMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11176$0
99214Established patient office or other outpatient visit, 30-39 minutes8681$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

Is COURTNEY L SCOTT listed with a National Provider Identifier?
Yes — COURTNEY L SCOTT has NPI 1821075425 on file in the registry.
Is there an active status for COURTNEY L SCOTT?
For scheduling context, COURTNEY L SCOTT is shown as active in the registry.
What area of care is associated with COURTNEY L SCOTT?
COURTNEY L SCOTT's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with COURTNEY L SCOTT?
Directory geography for COURTNEY L SCOTT centers on Minneapolis, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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