COURTNEY DULWORTH (NP) – Nurse Practitioner, NPI 1679941546
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for COURTNEY DULWORTH (NP)
670 MASON RIDGE CENTER DR
STE 300
ST LOUIS, MO 631418573
Phone: (573) 468-4186
Fax: (573) 756-6807
Type: Mailing
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 630802354
Phone: (573) 468-4186
Fax: (573) 860-6179
Type: Location
2100 STANTONSBURG RD
GREENVILLE, NC 278342818
Phone: (252) 847-2273
Fax: (252) 847-2964
Type: Mailing
2100 Stantonsburg Rd
Greenville, NC 278342818
Phone: (252) 847-2273
Fax: (252) 847-2964
Type: Location
660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 631418512
Phone: (314) 448-3791
Fax: (314) 996-7658
Type: Mailing
2 MEMORIAL DR STE 220
ALTON, IL 620026723
Phone: (618) 474-1723
Fax: (618) 433-6299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $700.
Total Amount is formed as General ($700) + Research ($0) + Ownership ($0) = $700.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($136).
Total Amount
$700
General + Research + Ownership
Payments
34
Total payment records
General Amount
$700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $136 |
| Lilly USA, LLC | $124 |
| Exact Sciences Corporation | $57 |
| IDORSIA PHARMACEUTICALS US INC | $52 |
| Boston Scientific Corporation | $38 |
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: 2024-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20151119000573 | I | Nurse Practitioner | NC | 2023-11-30 |
| I20240822001884 | I | Nurse Practitioner | IL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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