KOURTNEY ELIZABETH WHITE PA
NPI 1184212441
Physician Assistant - Medical in Douglas, WY

Active since January 04, 2021PECOS EnrolledAccepts Medicare Assignment
71.67/100
CMS Quality Rating
700 E CENTER ST, DOUGLAS, WY 82633(307) 358-7359 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kourtney Elizabeth White Pa NPPES

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

KOURTNEY ELIZABETH WHITE PA (NPI 1184212441) is an individual medical provider in Douglas, Wyoming, licensed in Wyoming (PT912) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Converse County, and maintains a secondary practice location in Casper.

NPPES Registry Identity

NPI1184212441
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKOURTNEY ELIZABETH WHITECredential: PA
Location Address700 E CENTER STDouglas, WY 82633-2446
Mailing Address700 E Center StDouglas, WY 82633-2446 · (307) 358-7359
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 4, 2021
NPPES CertifiedDecember 29, 2020
NPI 1184212441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WY · PT912
700 E CENTER ST, Douglas, WY 82633

Secondary Practice Location 1

Location 16500 E 2nd StCasper, WY 82609-4338 · Phone (307) 577-5100

Accepted 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

Kourtney Elizabeth White Pa 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 ID3971918913
PECOS Enrollment IDI20210224002287
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
230 services97 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
218 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services65 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
58 services45 patients
Blood glucose (sugar) measurement using reagent strip 82948
Blood glucose measurement using a reagent strip is a simple process. A tiny blood sample, usually taken from your finger, is placed on a test strip. The strip is inserted into a device that reads the blood sugar level. It's a quick, easy way to monitor blood sugar levels.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.21
Promoting Interoperability79
Improvement Activities40
Cost58.87

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$15.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$83.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Family Medicine
700 E CENTER ST
DOUGLAS, WY 82633
Obstetrics & Gynecology
700 E CENTER ST
DOUGLAS, WY 82633
Dietitian, Registered
700 E CENTER ST
DOUGLAS, WY 82633
Nurse Practitioner (Family)
700 E CENTER ST
DOUGLAS, WY 82633
Physician Assistant (Medical)
700 E CENTER ST
DOUGLAS, WY 82633
Internal Medicine
700 E CENTER ST
DOUGLAS, WY 82633
Dermatology
700 E CENTER ST
DOUGLAS, WY 82633

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 Kourtney White's NPI number?

The NPI number for Kourtney White is 1184212441. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Kourtney White located?

Kourtney White practices at 700 E Center St, Douglas, WY 82633. The listed phone number is (307) 358-7359.

What is Kourtney White's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kourtney White enrolled in Medicare?

Yes. Kourtney White 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 Kourtney White accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Kourtney White 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.

Is Kourtney White affiliated with any hospitals?

According to CMS data, Kourtney White is affiliated with Memorial Hospital Of Converse County.

When was this NPI record last updated?

The NPPES record for Kourtney White was last updated on January 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.