COURTNEY BRYCE THAYER
NPI 1417767302
Nurse Practitioner - Family in Burkburnett, TX

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment
602 MIMOSA ST, BURKBURNETT, TX 76354(940) 224-3610 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Courtney Bryce Thayer NPPES

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

COURTNEY BRYCE THAYER (NPI 1417767302) is an individual family provider in Burkburnett, Texas, licensed in Texas (1185946) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417767302
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY BRYCE THAYER
Location Address602 MIMOSA STBurkburnett, TX 76354-2350
Mailing Address602 Mimosa StBurkburnett, TX 76354-2350 · (940) 224-3610
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 12, 2025
✔ NPI 1417767302 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 TX · 1185946
602 MIMOSA ST, Burkburnett, TX 76354

Accepted 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 Bryce Thayer 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 ID6204358989
PECOS Enrollment IDI20250323000032
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 Thayer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1518 10TH ST
Wichita Falls, TX 76301
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group

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.

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76354 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Thayer's NPI number?

The NPI number for Courtney Thayer is 1417767302. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Courtney Thayer located?

Courtney Thayer practices at 602 Mimosa St, Burkburnett, TX 76354. The listed phone number is (940) 224-3610.

What is Courtney Thayer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Thayer enrolled in Medicare?

Yes. Courtney Thayer 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 Thayer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Thayer reassigns Medicare benefits to Wound Navigator Consulting PLLC (Wichita Falls, TX). 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 Thayer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Thayer accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Imperial Insurance Companies, Inc. list Courtney Thayer 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 Thayer affiliated with any hospitals?

According to CMS data, Courtney Thayer is affiliated with United Regional Health Care System.

When was this NPI record last updated?

The NPPES record for Courtney Thayer was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.