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MISS COURTNEY NICOLE SHAFFER PA-C
NPI 1093209041
Physician Assistant - Surgical in Kokomo, IN

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
1907 W SYCAMORE ST # 200, KOKOMO, IN 46901(765) 236-8170 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2024, Aug 15, 2022, Feb 28, 2022 and 3 more (6 updates tracked since 2018).

About Miss Courtney Nicole Shaffer Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS COURTNEY NICOLE SHAFFER PA-C (NPI 1093209041) is an individual surgical provider in Kokomo, Indiana, licensed in Indiana (10002483A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093209041
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS COURTNEY NICOLE SHAFFERCredential: PA-C
Location Address1907 W SYCAMORE ST # 200Kokomo, IN 46901-5148
Mailing Address1907 W Sycamore St # 200Kokomo, IN 46901-5148
Phone(765) 236-8170
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateAugust 9, 20246 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1093209041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IN · 10002483A
1907 W SYCAMORE ST # 200, Kokomo, IN 46901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11101 Michigan AveLogansport, IN 46947 · Phone (574) 753-7541
Location 22485 E Wabash StFrankfort, IN 46041-9400 · Phone (765) 236-8170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Courtney Nicole Shaffer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830446608
PECOS Enrollment IDI20180725000905
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY SHAFER M.D.
Orthopaedic Surgery
1907 W SYCAMORE ST # 200
KOKOMO, IN 46901
Howard County (765) 236-8170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Shaffer's NPI number?

The NPI number for Courtney Shaffer is 1093209041. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Courtney Shaffer located?

Courtney Shaffer practices at 1907 W Sycamore St # 200, Kokomo, IN 46901. The listed phone number is (765) 236-8170.

What is Courtney Shaffer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Courtney Shaffer enrolled in Medicare?

Yes. Courtney Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Courtney Shaffer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Courtney Shaffer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Shaffer was last updated on August 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.