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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

COURTNEY OTTS MANTOOTH CRNP
NPI 1851866099
Nurse Practitioner - Family in Birmingham, AL

Active since October 03, 2018PECOS Enrolled
801 PRINCETON AVE SW STE 707, BIRMINGHAM, AL 35211(205) 780-4330 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, May 13, 2024, Jun 1, 2023 and 2 more (5 updates tracked since 2018).

About Courtney Otts Mantooth Crnp NPPES

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

COURTNEY OTTS MANTOOTH CRNP (NPI 1851866099) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-150536) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851866099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY OTTS MANTOOTHCredential: CRNP
Location Address801 PRINCETON AVE SW STE 707Birmingham, AL 35211
Mailing Address801 Princeton Ave Sw Ste 707Birmingham, AL 35211-1395 · (205) 780-4330 · Fax (205) 780-7775
Phone(205) 780-4330
Sole ProprietorNo
Enumeration DateOctober 3, 2018
Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1851866099 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 AL · 1-150536
801 PRINCETON AVE SW STE 707, Birmingham, AL 35211
Open in Google Maps ↗

Other Names 1

Former Name (1)Courtney Otts Fnp-c

Other Identifiers 3

Other1-150536AL · Alabama Rn License
Medicaid243254AL
Other1-150536AL · Crnp License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Otts Mantooth Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 11

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

MARIE L JARMULOWICZ CRNP
Nurse Practitioner (Family)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
CASEY JONES CRNP
Nurse Practitioner (Family)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
CARDIOLOGY , PC
Internal Medicine (Cardiovascular Disease)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
DR. RAGHURAM CHAVA MD
Internal Medicine (Cardiovascular Disease)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
CARLA MELTON ROBERTS CRNP
Nurse Practitioner (Family)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
MARIE ELENA KILPATRICK CRNP
Nurse Practitioner (Family)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
TUSHAR MISHRA M.D./MBBS
Internal Medicine (Interventional Cardiology)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330
DR. RAYAN SAAB M.D.
Internal Medicine (Cardiovascular Disease)
801 PRINCETON AVE SW STE 707
BIRMINGHAM, AL 35211
Jefferson County (205) 780-4330

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 Mantooth's NPI number?

The NPI number for Courtney Mantooth is 1851866099. It was assigned to this individual provider in the NPPES registry on October 3, 2018. The provider is also known as Courtney Otts Fnp-C.

Where is Courtney Mantooth located?

Courtney Mantooth practices at 801 Princeton Ave SW Ste 707, Birmingham, AL 35211. The listed phone number is (205) 780-4330.

What is Courtney Mantooth's specialty?

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

Is Courtney Mantooth enrolled in Medicare?

Yes. Courtney Mantooth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Mantooth was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.