Courtney Shae Gibson, NP - Medicare Nurse Practitioner in Hillsboro, OR

Courtney Shae Gibson, NP is a medicare enrolled "Nurse Practitioner - Family" in Hillsboro, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mary Hitchcock Memorial Hospital and her current practice location is 364 Se 8th Ave Ste 108a, Hillsboro, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 640-3687.

Courtney Shae Gibson is licensed to practice in Oregon (license number 10024300-APRN) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689236077.

Contact Information

Courtney Shae Gibson, NP
364 Se 8th Ave Ste 108a,
Hillsboro, OR 97123-4253
(503) 640-3687
(503) 640-3688

Map and Direction




Provider's Profile

Full NameCourtney Shae Gibson
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location364 Se 8th Ave Ste 108a, Hillsboro, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney Shae Gibson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1689236077
  • Provider Enumeration Date: 07/05/2019
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658607395
  • Enrollment ID: I20231012001802

Medical Identifiers

Medical identifiers for Courtney Shae Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689236077NPI-NPPES
401436702MedicaidTX
401436703MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP141935 (Texas)Secondary
363L00000XNurse Practitioner 092344-23 (New Hampshire)Secondary
363LF0000XNurse Practitioner - Family 10024300-APRN (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Hitchcock Memorial HospitalLebanon, NHHospital
Cheshire Medical CenterKeene, NHHospital
New London HospitalNew london, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mary Hitchcock Memorial Hospital4486561164955

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Courtney Shae Gibson allows following entities to bill medicare on her behalf.
Entity NameMary Hitchcock Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023092053
PECOS PAC ID: 4486561164
Enrollment ID: O20031126000258
Entity NameDartmouth-hitchcock Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210198
PECOS PAC ID: 4183537509
Enrollment ID: O20040809000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Shae Gibson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courtney Shae Gibson, NP
1400 Sw 5th Ave Ste 500,
Portland, OR 97201-5537

Ph: () -
Courtney Shae Gibson, NP
364 Se 8th Ave Ste 108a,
Hillsboro, OR 97123-4253

Ph: (503) 640-3687

Reviews and Comments


Nurse Practitioner Nurses in Hillsboro, OR

Mrs. Christine Marie Douglas, PMHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 535 Se Washington St, Hillsboro, OR 97123
Phone: 503-755-6703    Fax: 503-755-6704
Tina M Barber, APN
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Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124
Phone: 503-684-8252    
Timothy Charles Kruth, NP
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Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124
Phone: 503-848-5861    Fax: 503-848-5863
Ms. Kathryn Rose Van Beeck, ANP
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Medicare: Medicare Enrolled
Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124
Phone: 503-645-2762    
Shannon Hummel, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 535 Se Washington St, Hillsboro, OR 97123
Phone: 503-755-6703    Fax: 503-755-6704
Margaret Wittenauer-lee, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123
Phone: 503-681-4273    
Patricia Hazel Glazier, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124
Phone: 503-693-1944    Fax: 503-693-1941

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.