COURTNEY NICOLE ENOS (PA-C) – Physician Assistant, NPI 1417488750

COURTNEY NICOLE ENOS (PA-C) is a healthcare provider. based in Nellis afb, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for COURTNEY NICOLE ENOS (PA-C) is 1417488750

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY NICOLE ENOS (PA-C)
NPI
1417488750
Phone
(702) 653-2532
Address
4700 Las Vegas Blvd N
Enumeration Date
27 March 2017
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9107358576
Graduation Year
2018 (8 years ago)
PAC ID
1254661622
Group Practice PAC ID
7315857141
Professional Enrollment ID
I20220302002056
Address ID
NC283583075LU300XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:9State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for COURTNEY NICOLE ENOS (PA-C)

  • 4700 Las Vegas Blvd N

    Nellis AFB, NV 891916600

    Phone: (702) 653-2532

    Type: Location

  • 4901 Dawn Dr Ste 2300

    Lumberton, NC 283608287

    Phone: (910) 738-1065

    Fax: (910) 738-5143

    Type: Location

  • 100 E Carroll St

    Salisbury, MD 218015422

    Phone: (410) 546-6400

    Type: Location

  • Peninsula Regional Medical Center, 100, East Carroll Street, Salisbury, Wicomico County, Maryland, 21801, United States

    SALISBURY, MD 218015422

    Phone: (410) 546-6400

    Type: Location

  • 300 W 27TH ST

    LUMBERTON, NC 283583075

    Phone: (910) 671-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$33
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: 2022-03-02

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
I20220302002056IPhysician AssistantNCTBD

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 minutes6945$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
99214Established patient office or other outpatient visit, 30-39 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 89191)

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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: 7315857141View full group profile
NameSpecialtyState
Internal MedicineNC
P S Y C H I A T R YOH
Physician AssistantNC
-NC
Nurse PractitionerNC
Pulmonary Disease, Critical Care (Intensivists)ID
Family PracticeSC
Nurse PractitionerNC
H O S P I T A L I S TCA
H O S P I T A L I S TNC

Reviews

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Frequently asked questions

How do I look up COURTNEY NICOLE ENOS (PA-C) by NPI?
Use NPI 1417488750 when you need to reference COURTNEY NICOLE ENOS (PA-C) in forms, claims, or directories.
Is COURTNEY NICOLE ENOS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does COURTNEY NICOLE ENOS (PA-C) treat or focus on?
Patients typically see COURTNEY NICOLE ENOS (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place COURTNEY NICOLE ENOS (PA-C)?
The snapshot lists Nellis Afb, Nevada for COURTNEY NICOLE ENOS (PA-C); download NPPES for the complete set.
How can I contact COURTNEY NICOLE ENOS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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