COURTNEY SOTO
NPI 1841025228
Nurse Practitioner - Family in Placerville, CA

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
1095 MARSHALL WAY STE 100, PLACERVILLE, CA 95667(530) 626-2920 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Courtney Soto NPPES

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

COURTNEY SOTO (NPI 1841025228) is an individual family provider in Placerville, California, licensed in California (95025493) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841025228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY SOTO
Location Address1095 MARSHALL WAY STE 100Placerville, CA 95667-5722
Mailing Address3171 Sudbury RdCameron Park, CA 95682-8218 · (530) 651-4186
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1841025228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95025493
1095 MARSHALL WAY STE 100, Placerville, CA 95667

Other Names 1

Former Name (1)Courtney Marie Brake

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 Soto 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 ID5395270052
PECOS Enrollment IDI20241119001642
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 Soto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1095 MARSHALL WAY, SUITE 100
Placerville, CA 95667
  • Reassigned Medicare billing, California enrollment
  • 152 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 95667 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Family Medicine
1095 MARSHALL WAY STE 100
PLACERVILLE, CA 95667
Obstetrics & Gynecology
1095 MARSHALL WAY STE 100
PLACERVILLE, CA 95667
Nurse Practitioner (Family)
1095 MARSHALL WAY STE 100
PLACERVILLE, CA 95667

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 Soto's NPI number?

The NPI number for Courtney Soto is 1841025228. It was assigned to this individual provider in the NPPES registry on September 4, 2024. The provider is also known as Courtney Marie Brake.

Where is Courtney Soto located?

Courtney Soto practices at 1095 Marshall Way Ste 100, Placerville, CA 95667. The listed phone number is (530) 626-2920.

What is Courtney Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Soto enrolled in Medicare?

Yes. Courtney Soto 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 Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Soto reassigns Medicare benefits to Marshall Medical Center (Placerville, CA). 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 Soto'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 Soto was last updated on September 4, 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.