COURTNEY PROVOS APRN, CNP
NPI 1982424529
Nurse Practitioner - Family in Oakdale, MN

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment
1099 HELMO AVE N STE 100, OAKDALE, MN 55128(651) 326-5300 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Courtney Provos Aprn, Cnp NPPES

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

COURTNEY PROVOS APRN, CNP (NPI 1982424529) is an individual family provider in Oakdale, Minnesota, licensed in Minnesota (11955) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1982424529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY PROVOSCredential: APRN, CNP
Location Address1099 HELMO AVE N STE 100Oakdale, MN 55128-6034
Mailing Address1099 Helmo Ave N Ste 100Oakdale, MN 55128-6034 · (651) 326-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2024
Last NPPES UpdateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1982424529 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 MN · 11955
1099 HELMO AVE N STE 100, Oakdale, MN 55128

Accepted Insurance

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 Provos Aprn, Cnp 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 ID3375078819
PECOS Enrollment IDI20241121000831
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 Reassignments

3

Medicare enrollment records show Courtney Provos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1099 HELMO AVE N, SUITE 100
Oakdale, MN 55128
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Dentist
8515 EAGLE POINT BLVD
Lake Elmo, MN 55042
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55128 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 6

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

Internal Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Nurse Practitioner (Family)
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Nurse Practitioner (Family)
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Family Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Family Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128
Family Medicine
1099 HELMO AVE N STE 100
OAKDALE, MN 55128

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 Provos's NPI number?

The NPI number for Courtney Provos is 1982424529. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Courtney Provos located?

Courtney Provos practices at 1099 Helmo Ave N Ste 100, Oakdale, MN 55128. The listed phone number is (651) 326-5300.

What is Courtney Provos's specialty?

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

Is Courtney Provos enrolled in Medicare?

Yes. Courtney Provos 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 organizations bill Medicare for Courtney Provos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Provos reassigns Medicare benefits to 3 organizations: Healtheast Medical Research Institute (Oakdale, MN), Group Health, Inc. (Lake Elmo, MN) and Park Nicollet Clinic (Minneapolis, MN). Each 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 Provos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Provos accept?

Health plans from Sanford Health Plan list Courtney Provos 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 Provos affiliated with any hospitals?

According to CMS data, Courtney Provos is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Provos was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.