COURTNEY J SMITH PAC
NPI 1902900376
Physician Assistant in Eagan, MN

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
1885 PLAZA DR, EAGAN, MN 55122(952) 993-4069(952) 993-4095 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Courtney J Smith Pac NPPES

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

COURTNEY J SMITH PAC (NPI 1902900376) is an individual physician assistant in Eagan, Minnesota, licensed in Minnesota (10170) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902900376
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY J SMITHCredential: PAC
Location Address1885 PLAZA DREagan, MN 55122-2979
Mailing Address1885 Plaza DrEagan, MN 55122-2979 · (952) 993-4069 · Fax (952) 993-4095
Fax(952) 993-4095
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 28, 2020
NPI 1902900376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10170
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1885 PLAZA DR, Eagan, MN 55122

Other Names 1

Former Name (1)Courtney Bull

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney J Smith Pac 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 ID2466457296
PECOS Enrollment IDI20060928000495
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
52 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
25 services17 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
24 services21 patients
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051
A blood test panel for electrolytes checks the levels of sodium, potassium, chloride, and carbon dioxide in your blood. These elements are crucial for body functions such as maintaining fluid balance, muscle contractions, and heart rhythm. The test helps identify any imbalances.
21 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55122 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Physician Assistant (Medical)
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner (Family)
1885 PLAZA DR, PARK NICOLLET CLINIC - EAGAN
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122
Social Worker (Clinical)
1885 PLAZA DR
EAGAN, MN 55122
Obstetrics & Gynecology
1885 PLAZA DR
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner (Pediatrics)
1885 PLAZA DR
EAGAN, MN 55122

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 Smith's NPI number?

The NPI number for Courtney Smith is 1902900376. It was assigned to this individual provider in the NPPES registry on September 7, 2006. The provider is also known as Courtney Bull.

Where is Courtney Smith located?

Courtney Smith practices at 1885 Plaza Dr, Eagan, MN 55122. The listed phone number is (952) 993-4069.

What is Courtney Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Smith enrolled in Medicare?

Yes. Courtney Smith 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.

What insurance does Courtney Smith accept?

Health plans from HealthPartners and Medica list Courtney Smith 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.

Is Courtney Smith affiliated with any hospitals?

According to CMS data, Courtney Smith is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Smith was last updated on February 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.