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COURTNEY RAE MCDERMOTT PA-C
NPI 1235771197
Physician Assistant in Henderson, NV

Active since October 11, 2019PECOS EnrolledAccepts Medicare Assignment
1701 N GREEN VALLEY PKWY STE 7B, HENDERSON, NV 89074(702) 508-9119 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2025, Jul 9, 2024, Dec 11, 2019 and 1 more (4 updates tracked since 2019).

About Courtney Rae Mcdermott Pa-c NPPES

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

COURTNEY RAE MCDERMOTT PA-C (NPI 1235771197) is an individual physician assistant in Henderson, Nevada, licensed in Nevada (PA2201) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235771197
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY RAE MCDERMOTTCredential: PA-C
Location Address1701 N GREEN VALLEY PKWY STE 7BHenderson, NV 89074-5889
Mailing AddressPo Box 80895Las Vegas, NV 89180-0895 · (702) 508-9119
Phone(702) 508-9119
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 11, 2019
Last NPPES UpdateMarch 23, 20254 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
✔ NPI 1235771197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA2201
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1701 N GREEN VALLEY PKWY STE 7B, Henderson, NV 89074
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Other Names 1

Former Name (1)Ms. Courtney Rae Botelho Pa-c

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

Courtney Rae Mcdermott 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 ID6305271438
PECOS Enrollment IDI20200120001114
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ELIZABETH THERESE COFFMAN PA-C
Physician Assistant (Medical)
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119
APEKSHA DESAI MD PLLC
Internal Medicine
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119
MORGAN AUBREY BUSH
Physician Assistant
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119
MARYLOU VERGARA WILLIAMS NP
Nurse Practitioner (Family)
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119

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 Mcdermott's NPI number?

The NPI number for Courtney Mcdermott is 1235771197. It was assigned to this individual provider in the NPPES registry on October 11, 2019. The provider is also known as Ms. Courtney Rae Botelho Pa-C.

Where is Courtney Mcdermott located?

Courtney Mcdermott practices at 1701 N Green Valley Pkwy Ste 7B, Henderson, NV 89074. The listed phone number is (702) 508-9119.

What is Courtney Mcdermott's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Mcdermott enrolled in Medicare?

Yes. Courtney Mcdermott 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.

When was this NPI record last updated?

The NPPES record for Courtney Mcdermott was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.