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COURTNEY SUMIDA DNP, AGPCNP-BC, CSFA
NPI 1306583778
Nurse Practitioner - Gerontology in Beloit, WI

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment
1905 E HUEBBE PKWY, BELOIT, WI 53511(608) 364-2230(608) 363-7394 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, Oct 11, 2022, May 17, 2022 (3 updates tracked since 2022).

About Courtney Sumida Dnp, Agpcnp-bc, Csfa NPPES

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

COURTNEY SUMIDA DNP, AGPCNP-BC, CSFA (NPI 1306583778) is an individual gerontology provider in Beloit, Wisconsin, licensed in Illinois (209.026121) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and maintains a secondary practice location in Roscoe.

NPPES Registry Identity

NPI1306583778
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCOURTNEY SUMIDACredential: DNP, AGPCNP-BC, CSFA
Location Address1905 E HUEBBE PKWYBeloit, WI 53511-1896
Mailing Address1905 E Huebbe PkwyBeloit, WI 53511-1896 · (608) 364-2230 · Fax (608) 363-7394
Phone(608) 364-2230
Fax(608) 363-7394
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 17, 2022
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1306583778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209.026121
Also ListedRegistered NurseTaxonomy 163W00000X · License 041442675 (IL)
1905 E HUEBBE PKWY, Beloit, WI 53511
Open in Google Maps ↗

Secondary Practice Location 1

Location 15605 E Rockton RdRoscoe, IL 61073-7601 · Phone (815) 525-4900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Sumida Dnp, Agpcnp-bc, Csfa 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 ID9739609009
PECOS Enrollment IDI20250218001498
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.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Sumida reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beloit Health System Inc
Same address
General Practice
1905 E HUEBBE PKWY
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1679616361 (086) 364-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 20

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

KAYCE J THOMPSON PTA
Physical Therapy Assistant
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2293
MADELENE G. HAMANN N.P.
Nurse Practitioner
1905 E HUEBBE PKWY, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2240
JUDITH MARIE WARNKE O.T.
Occupational Therapist
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2200
MS. CINDY I DAMON APNP
Nurse Practitioner
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Rock County (608) 364-2200
JOANNE SYLVIA PICKETT 225X00000X
Occupational Therapist
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2200
CHRISTINA HUGHES NP
Nurse Practitioner (Family)
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 363-2240
DR. DAVID K YOON M.D.
Internal Medicine (Gastroenterology)
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-1460
KELSEY LEE BEAUMONT
Physician Assistant (Medical)
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2200

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 Sumida's NPI number?

The NPI number for Courtney Sumida is 1306583778. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Courtney Sumida located?

Courtney Sumida practices at 1905 E Huebbe Pkwy, Beloit, WI 53511. The listed phone number is (608) 364-2230.

What is Courtney Sumida's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Courtney Sumida enrolled in Medicare?

Yes. Courtney Sumida 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.

Which organization bills Medicare for Courtney Sumida's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Sumida reassigns Medicare benefits to Beloit Health System Inc (Beloit, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Sumida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Sumida accept?

Health plans from Dean Health Plan, Group Health Cooperative-SCW and Quartz list Courtney Sumida 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 Courtney Sumida affiliated with any hospitals?

According to CMS data, Courtney Sumida is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Courtney Sumida was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.