KOURTNEY ELIZABETH WHITE (PA) – Medical Physician Assistant, NPI 1184212441

KOURTNEY ELIZABETH WHITE (PA) is a healthcare provider. based in Douglas, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PT912 (WY). The NPI Number for KOURTNEY ELIZABETH WHITE (PA) is 1184212441

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KOURTNEY ELIZABETH WHITE (PA)
NPI
1184212441
Phone
(307) 358-7359
Address
700 E CENTER ST
Enumeration Date
4 January 2021
Last Update Date
4 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072866738
Graduation Year
2020 (6 years ago)
PAC ID
3971918913
Group Practice PAC ID
1254876683
Professional Enrollment ID
I20210224002287
Address ID
WY826332534DO222XXSTXX400

Contacts

Secure Messaging
kwhite@mhccwyo.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

324 PHYSICIAN ASSISTANT in WY

Provider Addresses for KOURTNEY ELIZABETH WHITE (PA)

  • 700 E CENTER ST

    DOUGLAS, WY 826332446

    Phone: (307) 358-7359

    Type: Location

  • 6500 E 2nd St

    Casper, WY 826094338

    Phone: (307) 577-5100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $651.

Total Amount is formed as General ($651) + Research ($0) + Ownership ($0) = $651.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ABBVIE INC. ($154).

Total Amount

$651

General + Research + Ownership

Payments

30

Total payment records

General Amount

$651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2021-02-24

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
I20210224002287IPhysician AssistantWYTBD

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 minutes114104$0
99214Established patient office or other outpatient visit, 30-39 minutes6954$0
83036Hemoglobin a1c level4739$0
99212Established patient office or other outpatient visit, 10-19 minutes4137$0
82948Blood glucose (sugar) measurement using reagent strip2019$0
View full utilization report →

Insurance plans in this area (ZIP 82633)

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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: 1254876683View full group profile
NameSpecialtyState
Nurse PractitionerWY
Physician AssistantWY
O B S T E T R I C S/ G Y N E C O L O G YNH
Nurse PractitionerWY
Family PracticeWY
Family PracticeTX
Physician AssistantWY
Physician AssistantIA
Nurse PractitionerWY
Physician AssistantCO

Reviews

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Frequently asked questions

How do payers reference KOURTNEY ELIZABETH WHITE (PA)?
For KOURTNEY ELIZABETH WHITE (PA), use NPI 1184212441 as the unique 10-digit identifier.
Active or inactive — what applies to KOURTNEY ELIZABETH WHITE (PA)?
You should see KOURTNEY ELIZABETH WHITE (PA) as active in CMS-hosted NPPES data.
What area of care is associated with KOURTNEY ELIZABETH WHITE (PA)?
KOURTNEY ELIZABETH WHITE (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KOURTNEY ELIZABETH WHITE (PA)?
Travel planning: use Douglas, Wyoming as the reference point for KOURTNEY ELIZABETH WHITE (PA), then confirm.
When was this NPI issued?
Enumeration for KOURTNEY ELIZABETH WHITE (PA) is noted as January 4, 2021 where the registry provides it.

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