COURTNEY DEJESUS
NPI 1487940003
Physician Assistant - Surgical in Halfmoon, NY

Q: What is Courtney Dejesus's NPI number?

The NPI number for Courtney Dejesus is 1487940003. It was assigned to this individual provider in the NPPES registry on June 22, 2011. The provider is also known as Courtney Halsdorf.

Q: What is Courtney Dejesus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Dejesus was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment

1768 ROUTE 9, HALFMOON, NY 12065(518) 489-2663 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Dec 7, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2022).

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About Courtney Dejesus NPPES

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

COURTNEY DEJESUS (NPI 1487940003) is an individual surgical provider in Halfmoon, New York, licensed in New York (014802) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains a secondary practice location in Saratoga Springs.

NPPES Registry Identity

NPI1487940003

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameCOURTNEY DEJESUS

Location Address1768 ROUTE 9Halfmoon, NY 12065-2402

Mailing Address121 Everett RdAlbany, NY 12205-1474 · (518) 489-2663 · Fax (518) 689-3881

Phone(518) 489-2663

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 22, 2011

Last NPPES UpdateJuly 16, 20255 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1487940003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 014802

Also ListedPhysician AssistantTaxonomy 363A00000X · License 014802 (NY)

1768 ROUTE 9, Halfmoon, NY 12065

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Other Names 1

Former Name (1)Courtney Halsdorf

Secondary Practice Location 1

Location 15 Care LnSaratoga Springs, NY 12866-8623 · Phone (518) 489-2663 · Fax (518) 689-3881

Other Identifiers 1

Medicaid03500869NY

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 Dejesus 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 ID8628246303

PECOS Enrollment IDI20110725000228

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.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330013

Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 16

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

DR. LUKE V RIGOLOSI MD

Pain Medicine (Interventional Pain Medicine)