Courtney Ann Mitchell, FNP-C
NPI 1376141424ActiveIndividual· Nurse Practitioner, Family· Bullhead City, AZ
Nurse Practitioner, Family (FNP-C) with Icco LLC, practicing in Bullhead City, Arizona. Their prescriptions cost Medicare Part D more than their services did: $25,643 for 591 claims, against $12,790 paid for services in 2024. Aimmune Therapeutics, Inc. reported $18.30 in payments in 2024, mostly food and beverage. Lists Samaritan Albany General Hospital as a hospital affiliation.
Overview
| NPI | 1376141424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Oct 12, 2020 |
| Last updated in NPPES | Oct 18, 2021 |
| Certified by provider | Oct 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 248633 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 606 across 53 procedure codes |
| Paid by Medicare | $12,790 |
Part D prescriptions in 2024
| Prescriptions (claims) | 591 · 798 30-day fills |
|---|---|
| Patients | 330 |
| Total drug cost | $25,643 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliation
- Samaritan Albany General HospitalAlbany, OR
Industry payments (Open Payments)
- 2024$18.30 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Aimmune Therapeutics, Inc. | $18.30 | 1 |
What the 2024 payments were for
- Food and Beverage$18.30 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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