COURTNEY LEIGH GARRISON
NPI 1619833290
Nurse Practitioner in Maryville, IL

Active since December 29, 2025PECOS EnrolledAccepts Medicare Assignment
2401 S CENTER ST, MARYVILLE, IL 62062(618) 344-3046(618) 344-5284 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, Mar 3, 2026, Dec 29, 2025 (3 updates tracked since 2025).

About Courtney Leigh Garrison NPPES

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

COURTNEY LEIGH GARRISON (NPI 1619833290) is an individual nurse practitioner in Maryville, Illinois, licensed in Illinois (209034618) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619833290
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOURTNEY LEIGH GARRISON
Location Address2401 S CENTER STMaryville, IL 62062-5401
Mailing Address2401 S Center StMaryville, IL 62062-5401 · (618) 344-3046 · Fax (618) 344-5284
Fax(618) 344-5284
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 29, 2025
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1619833290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209034618
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2401 S CENTER ST, Maryville, IL 62062

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 Leigh Garrison 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 ID8022591452
PECOS Enrollment IDI20260313000049
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Family Medicine
2401 S CENTER ST
MARYVILLE, IL 62062
Nurse Practitioner (Family)
2401 S CENTER ST
MARYVILLE, IL 62062
Nurse Practitioner
2401 S CENTER ST
MARYVILLE, IL 62062
Internal Medicine
2401 S CENTER ST
MARYVILLE, IL 62062

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 Garrison's NPI number?

The NPI number for Courtney Garrison is 1619833290. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Courtney Garrison located?

Courtney Garrison practices at 2401 S Center St, Maryville, IL 62062. The listed phone number is (618) 344-3046.

What is Courtney Garrison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Courtney Garrison enrolled in Medicare?

Yes. Courtney Garrison 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.

Is Courtney Garrison affiliated with any hospitals?

According to CMS data, Courtney Garrison is affiliated with St Johns Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Garrison was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.