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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COURTNEY VARGAS PA
NPI 1710586953
Physician Assistant in Jackson, MI

Active since October 20, 2020PECOS Enrolled
400 HINCKLEY BLVD STE 100, JACKSON, MI 49203(517) 205-8991 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2026, Oct 20, 2020 (2 updates tracked since 2020).

About Courtney Vargas Pa NPPES

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

COURTNEY VARGAS PA (NPI 1710586953) is an individual physician assistant in Jackson, Michigan, licensed in Michigan (5601014123) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1710586953
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY VARGASCredential: PA
Location Address400 HINCKLEY BLVD STE 100Jackson, MI 49203-6152
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (313) 874-4806
Phone(517) 205-8991
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1710586953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601014123
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 HINCKLEY BLVD STE 100, Jackson, MI 49203
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Secondary Practice Location 1

Location 1620 W Lexington St Ste 5110Baltimore, MD 21201-1508 · Phone (410) 777-1881

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Vargas Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49203 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 10

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

KASEY GAMEZ NP
Nurse Practitioner
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-8991
SCOTT SHELTON D.O.
Family Medicine
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 784-0588
STEVEN FEHRENBACH FNP-C
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-8991
MRS. DEBORAH ANN MROCZKA NP-C
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-8991
COLLEEN M. GOETZ PA-C
Physician Assistant
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-8991
MRS. MICHELE MARIE MENTINK NP
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-8991
BETHANY SUZANNE BROOKS PA-C
Physician Assistant
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-2149
HANNAH CHOI
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Jackson County (517) 205-8991

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 Vargas's NPI number?

The NPI number for Courtney Vargas is 1710586953. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Courtney Vargas located?

Courtney Vargas practices at 400 Hinckley Blvd Ste 100, Jackson, MI 49203. The listed phone number is (517) 205-8991.

What is Courtney Vargas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Vargas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Courtney Vargas was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.