Cortney Nicole Hess, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6087 Issued in AK

Practice address

103 Fram St
Petersburg Medical Center
Petersburg, AK 99833

Phone

(907) 772-4291

Fax

(907) 772-3085

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cortney Nicole Boulton Former name

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Washington School of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Group practices

The Petersburg Medical CenterGroup PAC ID 5395730626, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Petersburg Medical Center Home Home health agency, Petersburg, AK, CCN 027009
• Petersburg Medical Center Hospital, Petersburg, AK, CCN 021304
• Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008
• Petersburg Medical Center Nursing home, CCN 02Z304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1437122843

  Family Medicine

  Medicare reassignment Care Compare group NPD
• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1790845204
  NPD
• The Petersburg Medical Center

  • Skilled Nursing Facility
  • Petersburg, AK
  • NPI 1104984954
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartlett Regional Hospital

  • General Acute Care Hospital
  • Juneau, AK
  • NPI 1891849261
  Care Compare affiliation
• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1437122843
  Care Compare affiliation
• The Petersburg Medical Center

  • Home Health Agency
  • Petersburg, AK
  • NPI 1790844033
  Care Compare affiliation
• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1790845204

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1346536505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "address_2": "PETERSBURG MEDICAL CENTER",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "99833",
            "telephone_number": "907-212-6522",
            "fax_number": "907-212-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FRAM ST",
            "address_2": "PETERSBURG MEDICAL CENTER",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "99833",
            "telephone_number": "907-772-4291",
            "fax_number": "907-772-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "CORTNEY",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9638",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNEY",
            "last_name": "BOULTON",
            "middle_name": "NICOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret D Fleming, MS,RD,LD
• Peggy Ann Floro, BA
• Amanda Galaktionoff, PT, DPT
• Paul J Haag, LMT (LICENSED MASSAG
• Alexandrea Brooke Badger Helms
• Philip J Hofstetter, AUDIOLOGIST
• Alice L Hulebak, M.D.
• Erik Hulebak
• Sharon M Hunter, RN
• Jennifer Hyer, M.D.

• Family Medicine Physician in Petersburg, AK
• Providers in Petersburg, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.