COURTNEY SULLENBERGER PA-C
NPI 1982020186
Physician Assistant in Indianapolis, IN

Active since March 12, 2014PECOS EnrolledAccepts Medicare Assignment
222 W MICHIGAN ST, INDIANAPOLIS, IN 46204(317) 779-0303 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2025, Mar 26, 2025, Feb 28, 2025 and 3 more (6 updates tracked since 2018).

About Courtney Sullenberger Pa-c NPPES

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

COURTNEY SULLENBERGER PA-C (NPI 1982020186) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10001636A) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Indianapolis, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982020186
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY SULLENBERGERCredential: PA-C
Location Address222 W MICHIGAN STIndianapolis, IN 46204-1254
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 12, 2014
Last NPPES UpdateApril 7, 20256 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1982020186 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 IN · 10001636A
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.

222 W MICHIGAN ST, Indianapolis, IN 46204

Other Names 1

Former Name (1)Courtney Kathleen Demeter Pa-c

Secondary Practice Locations 3

Location 1747 E County Line Rd Ste BGreenwood, IN 46143-1082 · Phone (317) 789-9600
Location 2950 N Meridian StIndianapolis, IN 46204-1077 · Phone (971) 962-8893
Location 313050 Parkside Dr Ste 101Fishers, IN 46038-8247 · Phone (317) 621-2290

Other Identifiers 1

Medicaid300100824IN

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 Sullenberger Pa-c 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 ID7618109752
PECOS Enrollment IDI20140403002294
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.

Hospital Affiliations CMS Care Compare

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

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46204 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 5

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

Durable Medical Equipment & Medical Supplies
222 W MICHIGAN ST
INDIANAPOLIS, IN 46204
Non-Pharmacy Dispensing Site
222 W MICHIGAN ST
INDIANAPOLIS, IN 46204
Physician Assistant
222 W MICHIGAN ST
INDIANAPOLIS, IN 46204
Nurse Practitioner (Family)
222 W MICHIGAN ST
INDIANAPOLIS, IN 46204
Physician Assistant
222 W MICHIGAN ST
INDIANAPOLIS, IN 46204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982020186, enumerated as an "individual" on March 12, 2014.

The provider is located at 222 W MICHIGAN ST INDIANAPOLIS, IN 46204 and the phone number is (317) 779-0303.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.

Courtney Sullenberger is affiliated with: FRANCISCAN HEALTH INDIANAPOLIS.