COURTNEY ANDREJCZAK PMHNP
NPI 1568918050
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since August 25, 2016PECOS Enrolled
2411 NE LOOP 410 STE 114, SAN ANTONIO, TX 78217(210) 868-5801 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2016, Aug 25, 2016 (2 updates tracked since 2016).

About Courtney Andrejczak Pmhnp NPPES

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

COURTNEY ANDREJCZAK PMHNP (NPI 1568918050) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (AP132281) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1568918050
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOURTNEY ANDREJCZAKCredential: PMHNP
Location Address2411 NE LOOP 410 STE 114San Antonio, TX 78217-6600
Mailing Address12131 Sapphire RivSan Antonio, TX 78245-4771 · (979) 732-7972
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 25, 2016
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1568918050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP132281
Also ListedRegistered NurseTaxonomy 163W00000X · License 860111 (TX)
2411 NE LOOP 410 STE 114, San Antonio, TX 78217

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)

Courtney Andrejczak Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971089400
PECOS Enrollment IDI20260114002142
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 Andrejczak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
2411 NE LOOP 410 STE 114
San Antonio, TX 78217
  • Reassigned Medicare billing, Texas enrollment
  • 20 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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.

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Psychiatry)
2411 NE LOOP 410 STE 114
SAN ANTONIO, TX 78217
Psychiatry & Neurology (Psychiatry)
2411 NE LOOP 410 STE 114
SAN ANTONIO, TX 78217
Psychiatry & Neurology (Psychiatry)
2411 NE LOOP 410 STE 114
SAN ANTONIO, TX 78217
Nurse Practitioner (Psychiatric/Mental Health)
2411 NE LOOP 410 STE 114
SAN ANTONIO, TX 78217

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 Andrejczak's NPI number?

The NPI number for Courtney Andrejczak is 1568918050. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Courtney Andrejczak located?

Courtney Andrejczak practices at 2411 NE Loop 410 Ste 114, San Antonio, TX 78217. The listed phone number is (210) 868-5801.

What is Courtney Andrejczak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Courtney Andrejczak enrolled in Medicare?

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

Which organization bills Medicare for Courtney Andrejczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Andrejczak reassigns Medicare benefits to Graceland Psychiatric And Neuromodulation Center PLLC (San Antonio, 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 Andrejczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Andrejczak accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Courtney Andrejczak 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 Andrejczak was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.