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

Q: 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.

Q: What is Courtney Vargas's specialty?

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

Q: 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 13 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.

Active since October 20, 2020

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: October 11, 2026.

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

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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 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

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