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MRS. KOURTNEY INGRAM AGACNP-BC
NPI 1801561089
Nurse Practitioner - Adult Health in Warner Robins, GA

Active since August 10, 2021PECOS Enrolled
4501 RUSSELL PKWY STE 31, WARNER ROBINS, GA 31088(478) 403-3295 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Dec 5, 2025, Aug 24, 2021 and 1 more (4 updates tracked since 2021).

About Mrs. Kourtney Ingram Agacnp-bc NPPES

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

MRS. KOURTNEY INGRAM AGACNP-BC (NPI 1801561089) is an individual adult health provider in Warner Robins, Georgia, licensed in Georgia (RN266250) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801561089
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KOURTNEY INGRAMCredential: AGACNP-BC
Location Address4501 RUSSELL PKWY STE 31Warner Robins, GA 31088-8681
Mailing Address520 Ga Highway 247 S # 160Bonaire, GA 31005-3886 · (478) 403-3295
Phone(478) 403-3295
Sole ProprietorNo
Enumeration DateAugust 10, 2021
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1801561089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN266250
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN266250 (GA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN266250 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN266250 (GA)
4501 RUSSELL PKWY STE 31, Warner Robins, GA 31088
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kourtney Ingram Agacnp-bc 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 Reassignments

2

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

Advancecare Remote Health & Wellness LLC
Same address
Adult Health
4501 RUSSELL PKWY STE 31
Warner Robins, GA 31088
  • Reassigned Medicare billing, Georgia enrollment
NPI 1437012473 (478) 403-3295
Community Care Health Network LLC
303 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 31088 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

ADVANCECARE REMOTE HEALTH & WELLNESS LLC
Nurse Practitioner (Adult Health)
4501 RUSSELL PKWY STE 31
WARNER ROBINS, GA 31088
Houston County (478) 403-3295

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 Ingram's NPI number?

The NPI number for Kourtney Ingram is 1801561089. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Kourtney Ingram located?

Kourtney Ingram practices at 4501 Russell Pkwy Ste 31, Warner Robins, GA 31088. The listed phone number is (478) 403-3295.

What is Kourtney Ingram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kourtney Ingram enrolled in Medicare?

Yes. Kourtney Ingram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kourtney Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Ingram reassigns Medicare benefits to 2 organizations: Advancecare Remote Health & Wellness LLC (Warner Robins, GA) and Community Care Health Network LLC (Nashville, TN). 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 Ingram'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 Kourtney Ingram was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.