Individual provider Active NPI

Courtney M Tessmer, PA-C

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1720537731
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007988 Issued in MI
Practice address
221 S Main St Ste 201
Royal Oak, MI 48067-2653
Phone
(248) 398-6459
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090650 MI
Physician Assistant 363A00000X 5601007988 MI Primary

Addresses

Primary practice location

221 S Main St Ste 201
Royal Oak, MI 48067-2653

Mailing address

221 S Main St Ste 201
Royal Oak, MI 48067-2653
Phone (248) 398-6459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 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
I20161017002769 MI Practitioner - Physician Assistant 1658669064 Reassigns benefits to 2 organizations
I20221018001827 MI Practitioner - Clinical Social Worker 1658669064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians
Macomb Therapy Group PLLCGroup PAC ID 4981978418, 16 clinicians
Senior Therapeutic Solutions LLCGroup PAC ID 7719325042, 3 clinicians

Practice addresses (Care Compare)

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

42815 Garfield Rd
Suite 201
Clinton Township, MI 48038-1143
Phone (586) 333-5328

8401 Holly Rd
Suite 2
Grand Blanc, MI 48439-1812

8401 Holly Rd
Suite 2
Grand Blanc, MI 48439-1978
Phone (810) 306-2858

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40
Cost
82.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Therapeutic Solutions, LLC Clinical CurrentSince Oct 7, 2024 Accepting new patients
Oceanside Services LLC PastSince Dec 14, 2025 Accepting new patients

Locations

4001 Walli Strasse Dr
Ste B
Burton, MI 48509
Phone (810) 306-2858

8401 Holly Rd
Ste 2
Grand Blanc, MI 48439
Phone (810) 286-3959

Organizations & group practices 4

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1720537731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST STE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672653",
            "telephone_number": "248-398-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST STE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672653",
            "telephone_number": "248-398-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMER",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090650",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.