COURTNEY IVERSON PA-C
NPI 1831475599
Physician Assistant - Surgical in Clearwater, FL
About Courtney Iverson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY IVERSON PA-C (NPI 1831475599) is an individual surgical provider in Clearwater, Florida, licensed in Florida (PA9118158) and active in the NPI registry since October 2011. She has opted out of Medicare through October 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Courtney Iverson Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CLEARWATER, FL 33759
CLEARWATER, FL 33759
CLEARWATER, FL 33759
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 Iverson's NPI number?
The NPI number for Courtney Iverson is 1831475599. It was assigned to this individual provider in the NPPES registry on October 26, 2011.
Where is Courtney Iverson located?
Courtney Iverson practices at 1700 N Mcmullen Booth Rd Ste B1, Clearwater, FL 33759. The listed phone number is (855) 774-6300.
What is Courtney Iverson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Courtney Iverson enrolled in Medicare?
No. Courtney Iverson has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Courtney Iverson was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Courtney Iverson, PA-C · NPI 1831475599
Surgical physician in Clearwater, Florida. Individual provider, active in the CMS NPPES registry since October 26, 2011.
## Identity
- **NPI:** 1831475599 (Entity type: Individual)
- **Enumerated:** October 26, 2011
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA9118158 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 N MCMULLEN BOOTH RD STE B1, Clearwater, FL 33759-2100
- **Phone:** (855) 774-6300
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831475599) · Data from the CMS NPPES public registry.