COURTNEY L FUNDERBURK
NPI 1336702703
Nurse Practitioner - Family in Havre, MT

Active since April 20, 2019PECOS EnrolledAccepts Medicare AssignmentCLIA 27D2340404 · Waiver
510 5TH AVE STE B, HAVRE, MT 59501(406) 201-5193(406) 403-0281 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Apr 10, 2026, Mar 24, 2026 and 8 more (11 updates tracked since 2019).

About Courtney L Funderburk NPPES

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

COURTNEY L FUNDERBURK (NPI 1336702703) is an individual family provider in Havre, Montana, licensed in Montana (NUR-APRN-LIC-132723) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 16, 2028, and is affiliated with Benefis Hospitals Inc.

NPPES Registry Identity

NPI1336702703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY L FUNDERBURK
Location Address510 5TH AVE STE BHavre, MT 59501-4015
Mailing Address84 20th StHavre, MT 59501-5260 · (406) 899-1614 · Fax (406) 403-0281
Fax(406) 403-0281
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 20, 2019
Last NPPES UpdateApril 14, 202611 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1336702703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MT · NUR-APRN-LIC-132723
510 5TH AVE STE B, Havre, MT 59501

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

Courtney L Funderburk 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 ID7416281894
PECOS Enrollment IDI20190619002278
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2340404

Courtney Funderburk, Dnp, Pnp-C · Havre, MT
Active · expires Mar 16, 2028
CLIA Number27D2340404
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorCourtney L. Funderburk
Laboratory Phone(406) 201-5193
Laboratory LocationCourtney Funderburk, Dnp, Pnp-C510 5th Ave. Ste B, Havre, MT 59501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Affiliations CMS Care Compare 2

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Northern Montana Hospital

Critical Access Hospitals · Havre, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271348
Location30 13th StHavre, MT 59501 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59501 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers35 claims47 services$5.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims14 services$0.81 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier26 claims26 services$44.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier24 claims144 services$24.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier31 claims31 services$72.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
1 supplier20 claims20 services$25.03 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

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

Clinic/Center (Primary Care)
510 5TH AVE STE B
HAVRE, MT 59501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336702703, enumerated as an "individual" on April 20, 2019.

The provider is located at 510 5TH AVE STE B HAVRE, MT 59501 and the phone number is (406) 201-5193.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.

Courtney Funderburk is affiliated with: BENEFIS HOSPITALS INC and NORTHERN MONTANA HOSPITAL.