Individual provider Active NPI

Courtney T Umphress, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1720624042
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009789 Issued in CO
Practice address
1159 Eagle Dr
Loveland, CO 80537-8020
Phone
(970) 219-5223
Fax
(970) 449-1606
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002869A IN
Physician Assistant 363A00000X PA213392 OR
Physician Assistant 363A00000X 10156 AZ
Physician Assistant 363A00000X PA.0009789 CO Primary

Addresses

Primary practice location

1159 Eagle Dr
Loveland, CO 80537-8020

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4439

Other identifiers 1

IdentifierTypeStateIssuer
300032838MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 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
I20240129000821 AZ Practitioner - Physician Assistant 6507299518 Reassigns benefits to 1 organization
I20260116002167 WA Practitioner - Physician Assistant 6507299518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

17705 140TH Ave NE
Suite A18
Woodinville, WA 98072-4372
Phone (864) 664-3984

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Nov 8, 2025 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Feb 12, 2024 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Feb 12, 2024 Accepting new patients

Locations

1298 W Finnie Flat Rd
Ste 101
Camp Verde, AZ 86322
Phone (928) 639-5555

1298 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (928) 639-5509

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

17705 140th Ave NE
Ste A18
Woodinville, WA 98072

Interoperability endpoints

  • Direct secure messaging: courtney.umphress.2@30646.direct.athenahealth.com
  • Direct secure messaging: cumphress352385@ecommunitydirect.com
  • Direct secure messaging: courtney.umphress.1@30646.direct.athenahealth.com
  • Direct secure messaging: cumphress352385@reidhealth.direct-ci.com

Organizations & group practices 3

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1720624042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 EAGLE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378020",
            "telephone_number": "970-219-5223",
            "fax_number": "970-449-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPHRESS",
        "first_name": "COURTNEY",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002869A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA213392",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10156",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032838",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.