COURTNEY NICOLE PETZ MD
NPI 1740861657
Family Medicine in Wellsville, KS

Active since April 21, 2021PECOS Enrolled
424 MAIN ST, WELLSVILLE, KS 66092(785) 883-4863(785) 883-4038 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2024, Sep 20, 2024, Apr 21, 2021 (3 updates tracked since 2021).

About Courtney Nicole Petz Md NPPES

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

COURTNEY NICOLE PETZ MD (NPI 1740861657) is an individual family medicine provider in Wellsville, Kansas, licensed in Kansas (0450067) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740861657
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOURTNEY NICOLE PETZCredential: MD
Location Address424 MAIN STWellsville, KS 66092-8878
Mailing Address424 Main StWellsville, KS 66092-8878 · (785) 883-4863 · Fax (785) 883-4038
Fax(785) 883-4038
Sole ProprietorNo
Enumeration DateApril 21, 2021
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1740861657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 0450067
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
424 MAIN ST, Wellsville, KS 66092

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 Nicole Petz Md 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 Reassignment

Medicare enrollment records show Courtney Petz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1301 S MAIN ST
Ottawa, KS 66067
  • Reassigned Medicare billing, Kansas enrollment
  • 73 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 66092 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 3

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

Clinic/Center (Rural Health)
424 MAIN ST
WELLSVILLE, KS 66092
Clinic/Center (Rural Health)
424 MAIN ST
WELLSVILLE, KS 66092
Nurse Practitioner
424 MAIN ST
WELLSVILLE, KS 66092

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 Petz's NPI number?

The NPI number for Courtney Petz is 1740861657. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Courtney Petz located?

Courtney Petz practices at 424 Main St, Wellsville, KS 66092. The listed phone number is (785) 883-4863.

What is Courtney Petz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Courtney Petz enrolled in Medicare?

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

Which organization bills Medicare for Courtney Petz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Petz reassigns Medicare benefits to Adventhealth Ransom Memorial, Inc. (Ottawa, KS). 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 Petz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Petz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 2 other insurers list Courtney Petz 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 Petz was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.