Individual provider Active NPI

Courtney Valko, PA-C

  • Physician Assistant
  • Bryn Mawr, PA
National Provider Identifier
1235524133
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C50001163 Issued in DE
Practice address
825 Old Lancaster Rd Ste 250
Bryn Mawr, PA 19010-3239
Phone
(610) 542-3300
Fax
(610) 542-3284
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057271 PA
Physician Assistant 363A00000X C50001163 DE Primary

Addresses

Primary practice location

825 Old Lancaster Rd Ste 250
Bryn Mawr, PA 19010-3239

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4000

Other practice location 1

479 Thomas Jones Way
Suite 300
Exton, PA 19341-2580
Phone (610) 280-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428001937 PA Practitioner - Physician Assistant 5597084368 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C50001163DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Dec 5, 2017 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 5, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 19, 2016 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

479 Thomas Jones Way
Ste 300
Exton, PA 19341
Phone (610) 280-9999

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: cvalko68161@direct.nemours.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1235524133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4000",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 250",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103239",
            "telephone_number": "610-542-3300",
            "fax_number": "610-542-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Thomas Jones Way",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412580",
            "country_code": "US",
            "telephone_number": "610-280-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALKO",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057271",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C50001163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.