COURTNEY AMBER KIMACK
NPI 1760262026
Nurse Practitioner - Psychiatric/Mental Health in Monroeville, PA

Active since October 04, 2023PECOS EnrolledAccepts Medicare Assignment
4055 MONROEVILLE BLVD STE 300, MONROEVILLE, PA 15146(724) 299-8954 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2023, Oct 4, 2023 (2 updates tracked since 2023).

About Courtney Amber Kimack NPPES

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

COURTNEY AMBER KIMACK (NPI 1760262026) is an individual psychiatric/mental health provider in Monroeville, Pennsylvania, licensed in Pennsylvania (SP028401) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760262026
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOURTNEY AMBER KIMACK
Location Address4055 MONROEVILLE BLVD STE 300Monroeville, PA 15146-2522
Mailing Address680 Sara LnVerona, PA 15147-2635
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 4, 2023
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1760262026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP028401
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN683749 (PA)
4055 MONROEVILLE BLVD STE 300, Monroeville, PA 15146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Amber Kimack 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 ID1456709419
PECOS Enrollment IDI20231130003732
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 Kimack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
110 HIDDEN VALLEY RD
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 223 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 15146 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 20

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

Counselor (Mental Health)
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Counselor (Mental Health)
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Counselor (Mental Health)
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Physician Assistant (Medical)
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Counselor (Professional)
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Counselor (Professional)
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Art Therapist
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146
Counselor
4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA 15146

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 Kimack's NPI number?

The NPI number for Courtney Kimack is 1760262026. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Courtney Kimack located?

Courtney Kimack practices at 4055 Monroeville Blvd Ste 300, Monroeville, PA 15146. The listed phone number is (724) 299-8954.

What is Courtney Kimack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Courtney Kimack enrolled in Medicare?

Yes. Courtney Kimack 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.

Which organization bills Medicare for Courtney Kimack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Kimack reassigns Medicare benefits to New Directions Mental Health, PC (Mc Murray, PA). 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 Kimack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Kimack was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.