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KOURTNI PRODAN CRNP
NPI 1588260574
Nurse Practitioner - Family in Braddock, PA

Active since December 07, 2020PECOS Enrolled
501 BRADDOCK AVE, BRADDOCK, PA 15104(412) 636-5044 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2022, Jun 26, 2021, Apr 8, 2021 and 1 more (4 updates tracked since 2020).

About Kourtni Prodan Crnp NPPES

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

KOURTNI PRODAN CRNP (NPI 1588260574) is an individual family provider in Braddock, Pennsylvania, licensed in Pennsylvania (SP022870) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588260574
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKOURTNI PRODANCredential: CRNP
Location Address501 BRADDOCK AVEBraddock, PA 15104-1856
Mailing Address510 Clemson DrPittsburgh, PA 15243-1722 · (309) 256-9076
Phone(412) 636-5044
Sole ProprietorNo
Enumeration DateDecember 7, 2020
Last NPPES UpdateOctober 13, 20224 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1588260574 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 PA · SP022870
501 BRADDOCK AVE, Braddock, PA 15104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kourtni Prodan Crnp 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 Kourtni Prodan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Family Medicine
501 BRADDOCK AVE
Braddock, PA 15104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1639643208 (412) 636-5054
Signify Health Medical Associates, PLLC
1,072 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 15104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 12

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

SARA R NICHOLS CRNP
Nurse Practitioner (Family)
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5044
MARYBROOKE BURVAL MD
Family Medicine
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5044
DR. MITCHEL L. MCCANDLISH MD
Emergency Medicine
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5050
REBECCA ANN GODSTREY
Physician Assistant
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5050
DR. DANIELLE GREENLEAF D.O
Family Medicine
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5050
AI MORII CRNP
Nurse Practitioner (Family)
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5050
ROBERT MCHUGH MD
Family Medicine
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5050
AMRIT RIARH MD
Family Medicine
501 BRADDOCK AVE
BRADDOCK, PA 15104
Allegheny County (412) 636-5044

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 Kourtni Prodan's NPI number?

The NPI number for Kourtni Prodan is 1588260574. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Kourtni Prodan located?

Kourtni Prodan practices at 501 Braddock Ave, Braddock, PA 15104. The listed phone number is (412) 636-5044.

What is Kourtni Prodan's specialty?

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

Is Kourtni Prodan enrolled in Medicare?

Yes. Kourtni Prodan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kourtni Prodan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtni Prodan reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Braddock, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Kourtni Prodan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kourtni Prodan accept?

Health plans from CareSource list Kourtni Prodan 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 Kourtni Prodan was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.