MRS. COURTNEY DAWN RANALLO M.D.
NPI 1487863759
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since May 22, 2007PECOS Enrolled
71.66/100
CMS Quality Rating
800 MARSHALL ST, SLOT 512-19A, LITTLE ROCK, AR 72202(501) 364-3196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Courtney Dawn Ranallo M.d. NPPES

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

MRS. COURTNEY DAWN RANALLO M.D. (NPI 1487863759) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487863759
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. COURTNEY DAWN RANALLOCredential: M.D.
Location Address800 MARSHALL ST, SLOT 512-19ALittle Rock, AR 72202-3510
Mailing Address10005 Kane DrLittle Rock, AR 72211 · (405) 370-9515
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487863759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 MARSHALL ST, Little Rock, AR 72202

Other Names 1

Former Name (1)Courtney Dawn Wallace

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Courtney Dawn Ranallo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Courtney Ranallo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

Dentist (Pediatric Dentistry)
800 MARSHALL ST
LITTLE ROCK, AR 72202
Dietitian, Registered
800 MARSHALL ST, SLOT 900
LITTLE ROCK, AR 72202
Speech-Language Pathologist
800 MARSHALL ST, KIDS FIRST POC
LITTLE ROCK, AR 72202
Otolaryngology (Pediatric Otolaryngology)
800 MARSHALL ST, SLOT#653
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics, Critical Care)
800 MARSHALL ST, CRITICAL CARE MEDICINE
LITTLE ROCK, AR 72202
General Acute Care Hospital (Children)
800 MARSHALL ST
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
800 MARSHALL ST
LITTLE ROCK, AR 72202
Developmental Therapist
800 MARSHALL ST, SLOT 900
LITTLE ROCK, AR 72202

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 Ranallo's NPI number?

The NPI number for Courtney Ranallo is 1487863759. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Courtney Dawn Wallace.

Where is Courtney Ranallo located?

Courtney Ranallo practices at 800 Marshall St Slot 512-19a, Little Rock, AR 72202. The listed phone number is (501) 364-3196.

What is Courtney Ranallo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Courtney Ranallo enrolled in Medicare?

Yes. Courtney Ranallo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Courtney Ranallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Ranallo reassigns Medicare benefits to 2 organizations: Ou Health Partners, Inc (Oklahoma City, OK) and Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK). Each 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 Ranallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Ranallo accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Courtney Ranallo 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.

When was this NPI record last updated?

The NPPES record for Courtney Ranallo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.