Courtney Ann Contreras, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4461 S White Mountain Rd Ste D4
Show Low, AZ 85901-7783

Phone

(928) 242-3093

NPI assigned

Aug 2, 2018

Last updated

Jun 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Summit Healthcare Medical Associates

  • Family Medicine Physician
  • Show Low, AZ
  • NPI 1467878108
  Medicare reassignment

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1821576638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 WAGON WHEEL PLZ",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295747",
            "telephone_number": "928-242-3093",
            "fax_number": "802-895-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 S WHITE MOUNTAIN RD STE D4",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017783",
            "telephone_number": "928-242-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5972 Wagon Wheel Plz",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "AZ",
            "postal_code": "859295747",
            "country_code": "US",
            "telephone_number": "928-242-3093",
            "fax_number": "802-895-7091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 S Higley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852964786",
            "country_code": "US",
            "telephone_number": "480-571-1000",
            "fax_number": "888-366-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Medical Services Arizona-Private, LLC (Community Medical Services Show Low)
• Comprehensive Hospitalist Services of Arizona LLC
• Comprehensive Hospitalist Services of Arizona, LLC
• Connelly Care PLLC
• Patrick Wellington Connelly, MD
• Deanna Cook, RPH
• Elmer Alfred Cook Jr., RPH, MBA
• Dessa M Cooper, CPM, LM
• Randal Lloyd Cooper, MD
• Geoffrey Dee Cornelsen, D.O.

• Physician Assistant in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.