Courtney Provos, APRN, CNP - Medicare Nurse Practitioner in Eagan, MN

  1. Home
  2. Nurse Practitioner
  3. MN
  4. Eagan
Courtney Provos, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Eagan, Minnesota. Her current practice location is 1654 Diffley Rd Ste 100, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 641-3904.

Courtney Provos is licensed to practice in Minnesota (license number 11955) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982424529.

Contact Information

Courtney Provos, APRN, CNP
1654 Diffley Rd Ste 100,
Eagan, MN 55122-2236
(651) 641-3904
Not Available

Map and Direction




Provider's Profile

Full NameCourtney Provos
GenderFemale
SpecialityNurse Practitioner - Family
Location1654 Diffley Rd Ste 100, Eagan, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982424529
  • Provider Enumeration Date: 10/16/2024
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375078819
  • Enrollment ID: I20241121000831

Medical Identifiers

Medical identifiers for Courtney Provos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982424529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11955 (Minnesota)Primary

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 Provos allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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 Provos 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 Provos, APRN, CNP
1654 Diffley Rd Ste 100,
Eagan, MN 55122-2236

Ph: (651) 641-3904		Courtney Provos, APRN, CNP
1654 Diffley Rd Ste 100,
Eagan, MN 55122-2236

Ph: (651) 641-3904

Reviews and Comments


Nurse Practitioner Nurses in Eagan, MN

Rosa Grebin, AGNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1885 Plaza Dr, Eagan, MN 55122
Phone: 952-993-4001    
Jori L Shore,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1885 Plaza Dr, Park Nicollet Clinic - Eagan, Eagan, MN 55122
Phone: 952-993-4001    Fax: 952-993-4075
Julie Kristin Kovanda, A.P.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121
Phone: 651-406-8860    Fax: 651-406-8860
Laura Anne Chilson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1654 Diffley Rd Ste 100, Eagan, MN 55122
Phone: 651-641-3900    
Claire Ryden Maxey, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1440 Duckwood Dr Ste 100, Eagan, MN 55122
Phone: 187-791-5724    
Ms. Abby Rose Roth, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4241 Johnny Cake Ridge Rd, Eagan, MN 55122
Phone: 866-389-2727    
Ms. Ellen A Connolly-eckhoff, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1885 Plaza Dr, Eagan, MN 55122
Phone: 952-993-4001    

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.