MRS. COURTNEY MAE WITTROCK PA-C
NPI 1336688175
Physician Assistant - Medical in Saint Cloud, MN

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
1900 CENTRACARE CIR, SUITE 2300, SAINT CLOUD, MN 56303(320) 654-3630(320) 229-5142 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2023, Feb 13, 2017 (2 updates tracked since 2017).

About Mrs. Courtney Mae Wittrock Pa-c NPPES

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

MRS. COURTNEY MAE WITTROCK PA-C (NPI 1336688175) is an individual medical provider in Saint Cloud, Minnesota and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336688175
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. COURTNEY MAE WITTROCKCredential: PA-C
Location Address1900 CENTRACARE CIR, SUITE 2300Saint Cloud, MN 56303-5000
Mailing Address1900 Centracare Cir, Suite 2300Saint Cloud, MN 56303-5000 · (320) 654-3630 · Fax (320) 229-5142
Fax(320) 229-5142
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2017
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1336688175 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
1900 CENTRACARE CIR, Saint Cloud, MN 56303

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

Mrs. Courtney Mae Wittrock 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 ID446536965
PECOS Enrollment IDI20170418002582
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.

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

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.

Internal Medicine (Gastroenterology)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Internal Medicine
1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIR, SUITE 1325
SAINT CLOUD, MN 56303
Pharmacist
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant (Medical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Genetic Counselor, MS
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

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 Wittrock's NPI number?

The NPI number for Courtney Wittrock is 1336688175. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Courtney Wittrock located?

Courtney Wittrock practices at 1900 Centracare Cir Suite 2300, Saint Cloud, MN 56303. The listed phone number is (320) 654-3630.

What is Courtney Wittrock's specialty?

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

Is Courtney Wittrock enrolled in Medicare?

Yes. Courtney Wittrock 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 Wittrock accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Courtney Wittrock 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 Wittrock affiliated with any hospitals?

According to CMS data, Courtney Wittrock is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Wittrock was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.