KOURTNEY FALLON ARNP
NPI 1922470707
Nurse Practitioner - Pediatrics in Tampa, FL

Active since October 20, 2015PECOS Enrolled
17 DAVIS BLVD, 100, TAMPA, FL 33606(813) 259-8700 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Nov 11, 2015 (2 updates tracked since 2015).

About Kourtney Fallon Arnp NPPES

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

KOURTNEY FALLON ARNP (NPI 1922470707) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (ARNP9296288) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1922470707
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKOURTNEY FALLONCredential: ARNP
Location Address17 DAVIS BLVD, 100Tampa, FL 33606-3475
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-2812
Sole ProprietorNo
Enumeration DateOctober 20, 2015
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1922470707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in FL · ARNP9296288
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License ARNP9296288 (FL)
17 DAVIS BLVD, Tampa, FL 33606

Secondary Practice Location 1

Location 12 Tampa General CirTampa, FL 33606-3603 · Phone (813) 974-2201 · Fax (813) 974-2812

Other Identifiers 2

Medicaid015999900FL
OtherAATWEFL · Blue Cross Blue Shield

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 (PECOS)

Kourtney Fallon Arnp 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 33606 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Psychiatry & Neurology (Psychiatry)
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Pediatrics (Pediatric Infectious Diseases)
17 DAVIS BLVD
TAMPA, FL 33606
Emergency Medicine
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD
TAMPA, FL 33606
Radiology (Diagnostic Radiology)
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606

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 Fallon's NPI number?

The NPI number for Kourtney Fallon is 1922470707. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Kourtney Fallon located?

Kourtney Fallon practices at 17 Davis Blvd 100, Tampa, FL 33606. The listed phone number is (813) 259-8700.

What is Kourtney Fallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kourtney Fallon enrolled in Medicare?

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

What insurance does Kourtney Fallon accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Kourtney Fallon 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.

When was this NPI record last updated?

The NPPES record for Kourtney Fallon was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.