Individual provider Active NPI

Courtney Marie Van Sickle, PA

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1366873796
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06920 Issued in NC
Practice address
50 Hospital Dr Ste 3B-2
Hendersonville, NC 28792-5248
Phone
(828) 687-0088
Fax
(828) 684-6693
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 PA9116523 FL
Physician Assistant 363A00000X 0010-06920 NC Primary

Addresses

Primary practice location

50 Hospital Dr Ste 3B-2
Hendersonville, NC 28792-5248

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5698

Other identifiers 1

IdentifierTypeStateIssuer
115854800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140117000385 FL Practitioner - Physician Assistant 1951539022 Reassigns benefits to 1 organization
I20170613002523 NC Practitioner - Physician Assistant 1951539022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

50 Hospital Dr
3B
Hendersonville, NC 28792-5245
Phone (828) 684-2234

80 Doctors Dr
Hendersonville, NC 28792-7289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06920NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Nov 1, 2018 Accepting new patients
Fletcher Hospital Inc CurrentSince Sep 22, 2024 Accepting new patients
Fletcher Hospital Inc. CurrentSince Sep 22, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Nov 16, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Nov 16, 2022 Accepting new patients
Mission Medical Associates, Inc CurrentSince Jun 26, 2017 Accepting new patients
Henderson County Hospital Corporation CurrentSince Nov 1, 2018 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

5 Vanderbilt Park Dr
Asheville, NC 28803

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

50 Hospital Dr
Ste 3B2
Hendersonville, NC 28792
Phone (828) 687-0088

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cvansickle84436@direct.leememorial.org
  • Direct secure messaging: cvansickle3969269@adventhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1366873796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 3B-2",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925248",
            "telephone_number": "828-687-0088",
            "fax_number": "828-684-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116523",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115854800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.