Courtney Mares, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2532 Issued in NE

Practice address

2625 Stockwell St
Lincoln, NE 68502-5755

Phone

(402) 421-3335

Fax

(402) 421-2625

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin PCGroup PAC ID 4486831740, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.49 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.29

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmares@directaddress.net

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.

• Skin PC

  • Dermatology Physician
  • Elkhorn, NE
  • NPI 1134410764
  Medicare reassignment Care Compare group NPD
• Eye Surgical Associates, LLC

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1417952995
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1639783665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 STOCKWELL ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025755",
            "telephone_number": "402-421-3335",
            "fax_number": "402-421-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 STOCKWELL ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025755",
            "telephone_number": "402-421-3335",
            "fax_number": "402-421-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lynne Marcotte, PSY.D., LMHP, PLP
• Jonathan Marcotte, PSY.D.
• Ashley Marcuccio
• Lynn D Marcus, L.M.H.P.
• Linda June Marcy, LMHP, LPC, ATR-BC
• Sara Mares, RN
• Brent Joseph Maresh, CRNA
• Bryson Lee Marett
• Kathy Mary Margheim
• Maria C Fritz LMHP PC

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.