KOURTNEY JO SURBER APRN
NPI 1760379101
Nurse Practitioner - Primary Care in Cedarville, AR

Active since June 19, 2025PECOS EnrolledAccepts Medicare Assignment
708 PIRATES WAY, CEDARVILLE, AR 72932(479) 270-5242(479) 279-7685 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Apr 9, 2026, Jun 19, 2025 (3 updates tracked since 2025).

About Kourtney Jo Surber Aprn NPPES

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

KOURTNEY JO SURBER APRN (NPI 1760379101) is an individual primary care provider in Cedarville, Arkansas, licensed in Arkansas (233547) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760379101
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKOURTNEY JO SURBERCredential: APRN
Location Address708 PIRATES WAYCedarville, AR 72932-9506
Mailing Address9755 W State Highway 22Ratcliff, AR 72951-9000 · (479) 431-2050 · Fax (479) 431-2051
Fax(479) 279-7685
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2025
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1760379101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AR · 233547
708 PIRATES WAY, Cedarville, AR 72932

Accepted Insurance

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

Kourtney Jo Surber Aprn 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 ID2769996990
PECOS Enrollment IDI20250709002124
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 Reassignments

2

Medicare enrollment records show Kourtney Surber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
708 PIRATES WAY
Cedarville, AR 72932
  • Reassigned Medicare billing, Arkansas enrollment
  • 42 clinicians in this Medicare group
Rural Health
937 HIGHWAY 64 E
Alma, AR 72921
  • Reassigned Medicare billing, Arkansas enrollment
  • 5 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 72932 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

Clinic/Center (Federally Qualified Health Center (FQHC))
708 PIRATES WAY
CEDARVILLE, AR 72932
Dentist
708 PIRATES WAY
CEDARVILLE, AR 72932

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 Kourtney Surber's NPI number?

The NPI number for Kourtney Surber is 1760379101. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Kourtney Surber located?

Kourtney Surber practices at 708 Pirates Way, Cedarville, AR 72932. The listed phone number is (479) 270-5242.

What is Kourtney Surber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kourtney Surber enrolled in Medicare?

Yes. Kourtney Surber 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 organizations bill Medicare for Kourtney Surber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Surber reassigns Medicare benefits to 2 organizations: River Valley Primary Care Services (Cedarville, AR) and Baptist Health Regional Hospitals (Alma, AR). Each 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 Kourtney Surber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kourtney Surber accept?

Health plans from Health Advantage and Octave list Kourtney Surber 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 Kourtney Surber was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.