Individual provider Active NPI

Courtney N James, PA-C

  • Physician Assistant
  • Burnsville, MN
National Provider Identifier
1871764472
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10406 Issued in MN
Practice address
810 County Road 42 W
Burnsville, MN 55337-4426
Phone
(952) 236-3003
NPI assigned
Mar 21, 2008
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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
Physician Assistant 363A00000X 10406 MN Primary

Addresses

Primary practice location

810 County Road 42 W
Burnsville, MN 55337-4426

Mailing address

PO Box 550
4805 W. Prime Parkway
McHenry, IL 60051-0550
Phone (815) 363-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20080917000425 MN Practitioner - Physician Assistant 6800963836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

14101 Fairview Dr
Suite 250
Burnsville, MN 55337-2523
Phone (952) 435-4190

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

6565 France Ave S
Suite 200
Edina, MN 55435-2141
Phone (952) 806-0011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10406MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Mar 18, 2021 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Sep 1, 2024 Accepting new patients
Fairview Clinics CurrentSince Feb 15, 2017 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Sep 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Mar 18, 2021 Accepting new patients
Fairview Clinics CurrentSince Feb 15, 2017 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients
Now Medical, Inc Past Accepting new patients
Clinical Practice Management, P.C. Past Accepting new patients
Obstetrics and Gynecology Associates, P.a. Past Accepting new patients

Locations

14101 Fairview Dr
Ste 250
Burnsville, MN 55337
Phone (952) 435-4190

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 520-2000

3300 Oakdale Ave N
Ste 3
Robbinsdale, MN 55422

2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1871764472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "address_2": "4805 W. PRIME PARKWAY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600510550",
            "telephone_number": "815-363-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COUNTY ROAD 42 W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374426",
            "telephone_number": "952-236-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.