COURTNEY ROGERS – Physician Assistant, NPI 1295593036

COURTNEY ROGERS is a healthcare provider. based in Southlake, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA17948 (TX). The NPI Number for COURTNEY ROGERS is 1295593036

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY ROGERS
NPI
1295593036
Phone
Not provided
Address
261 W SOUTHLAKE BLVD
Enumeration Date
7 March 2024
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173108783
Graduation Year
2024 (2 years ago)
PAC ID
6406297084
Group Practice PAC ID
9739265539
Professional Enrollment ID
I20240514001973
Address ID
TX760927046SO261XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for COURTNEY ROGERS

  • 261 W SOUTHLAKE BLVD

    SOUTHLAKE, TX 760927046

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: SI-BONE, INC. ($88).

Total Amount

$166

General + Research + Ownership

Payments

5

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-05-14

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
I20240514001973IPhysician AssistantTXTBD

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 76092)

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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: 9739265539View full group profile

Reviews

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Frequently asked questions

What is the registry number for COURTNEY ROGERS?
The registry entry for COURTNEY ROGERS shows NPI 1295593036.
Quick check: is COURTNEY ROGERS active?
Public NPPES data shows COURTNEY ROGERS with an active NPI status right now.
What services align with COURTNEY ROGERS's listing?
COURTNEY ROGERS's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit COURTNEY ROGERS in Southlake, Texas?
For routing, start with Southlake, Texas for COURTNEY ROGERS, then verify phone and hours locally.
Why is information missing for COURTNEY ROGERS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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